Senior Business Analyst
Horizon Blue Cross Blue Shield of New Jersey, Harrison, NJ, United States
At
Horizon Blue Cross Blue Shield of New Jersey , our mission is simple yet powerful: empower our members to achieve their best health. For more than 90 years, weve led the way in transforming health care quality, affordability, and experience for the 3.5 million people who trust us our neighbors, friends, and families. We believe when our employees thrive, our members benefit. Thats why we foster an innovative, collaborative, and inclusive culture where talented professionals can make a real impact. We are seeking a
Business Analyst III
who is passionate about solving complex problems, improving processes, and driving measurable results across the organization. This is a senior-level role offering autonomy, visibility, and the opportunity to influence cross-functional initiatives that enhance operational performance and member experience. What Youll Do Lead in-depth research and
root cause analysis
of service and operational issues, identifying actionable solutions. Design and build
forecasting tools and reporting solutions
using technologies such as Access, Excel, Monarch, and other systems. Translate business needs into technical requirements and partner closely with IT to implement system enhancements. Use data analytics to develop innovative solutions that increase efficiency and reduce operational deficiencies. Lead or contribute to cross-functional project workgroups, including presentations to internal and external stakeholders. Conduct
User Acceptance Testing (UAT)
for system implementations, enhancements, and fixes. Prepare audit materials, review findings for accuracy, and develop corrective action plans when appropriate. Partner with external vendors to improve billing accuracy, reduce costs, and drive quality improvements. Provide forecasting and analytics for enrollment vendors to support proper resource allocation and contractual compliance. Reconcile vendor billing transactions, identify discrepancies, and recommend process enhancements to leadership. Provide first-level support for ID cardrelated issues, leveraging analytics to recommend improvements. Mentor and support junior team members and assist in onboarding new staff. What You Bring High School Diploma/GED required;
Bachelors degree preferred
(or equivalent experience). Minimum of
7 years of experience
in an operational and/or analytical role. Knowledge of the
healthcare industry
(required). Experience with project management methodologies. Strong analytical, reporting, and database management capabilities. Ability to work independently while navigating complex, cross-functional environments. Work Location & Travel Some travel to our Penn Plaza office is required. Employees must reside in
NJ, NY, PA, CT, or DE . Compensation & Benefits Salary Range: $87,300 $119,070 Compensation is determined based on education, experience, certifications, geographic location, and internal equity. In addition to competitive pay, we offer a comprehensive benefits package including: Medical, Dental, and Vision coverage Retirement plans Generous PTO Incentive plans Wellness programs Paid Volunteer Time Off Tuition reimbursement Join Us If youre energized by data, driven by continuous improvement, and motivated by making a difference in healthcare, this is your opportunity to contribute at a meaningful level within a mission-driven organization. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.
Horizon Blue Cross Blue Shield of New Jersey , our mission is simple yet powerful: empower our members to achieve their best health. For more than 90 years, weve led the way in transforming health care quality, affordability, and experience for the 3.5 million people who trust us our neighbors, friends, and families. We believe when our employees thrive, our members benefit. Thats why we foster an innovative, collaborative, and inclusive culture where talented professionals can make a real impact. We are seeking a
Business Analyst III
who is passionate about solving complex problems, improving processes, and driving measurable results across the organization. This is a senior-level role offering autonomy, visibility, and the opportunity to influence cross-functional initiatives that enhance operational performance and member experience. What Youll Do Lead in-depth research and
root cause analysis
of service and operational issues, identifying actionable solutions. Design and build
forecasting tools and reporting solutions
using technologies such as Access, Excel, Monarch, and other systems. Translate business needs into technical requirements and partner closely with IT to implement system enhancements. Use data analytics to develop innovative solutions that increase efficiency and reduce operational deficiencies. Lead or contribute to cross-functional project workgroups, including presentations to internal and external stakeholders. Conduct
User Acceptance Testing (UAT)
for system implementations, enhancements, and fixes. Prepare audit materials, review findings for accuracy, and develop corrective action plans when appropriate. Partner with external vendors to improve billing accuracy, reduce costs, and drive quality improvements. Provide forecasting and analytics for enrollment vendors to support proper resource allocation and contractual compliance. Reconcile vendor billing transactions, identify discrepancies, and recommend process enhancements to leadership. Provide first-level support for ID cardrelated issues, leveraging analytics to recommend improvements. Mentor and support junior team members and assist in onboarding new staff. What You Bring High School Diploma/GED required;
Bachelors degree preferred
(or equivalent experience). Minimum of
7 years of experience
in an operational and/or analytical role. Knowledge of the
healthcare industry
(required). Experience with project management methodologies. Strong analytical, reporting, and database management capabilities. Ability to work independently while navigating complex, cross-functional environments. Work Location & Travel Some travel to our Penn Plaza office is required. Employees must reside in
NJ, NY, PA, CT, or DE . Compensation & Benefits Salary Range: $87,300 $119,070 Compensation is determined based on education, experience, certifications, geographic location, and internal equity. In addition to competitive pay, we offer a comprehensive benefits package including: Medical, Dental, and Vision coverage Retirement plans Generous PTO Incentive plans Wellness programs Paid Volunteer Time Off Tuition reimbursement Join Us If youre energized by data, driven by continuous improvement, and motivated by making a difference in healthcare, this is your opportunity to contribute at a meaningful level within a mission-driven organization. Horizon Blue Cross Blue Shield of New Jersey is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, protected veteran status or status as an individual with a disability and any other protected class as required by federal, state or local law. Horizon will consider reasonable accommodation requests as part of the recruiting and hiring process.