Senior Business Process Analyst (Remote)

Position Overview

This position will support the modernization and redesign of the utilization management department through thoughtful contributions to process analysis, mapping, and process improvements aligned with the organization’s goals. The role involves evaluating business problems, developing solutions using a deep understanding of utilization management workflows, and managing projects from initial concept through implementation. The position is remote within the greater Baltimore metropolitan area with periodic visits to CareFirst locations.

Key Responsibilities

• Analyze business and technical processes to develop new or modified workflows that drive automation and efficiency for UM teams.
• Interface with clinical and non-clinical end users, IT teams, and other key stakeholders to identify and resolve issues.
• Represent the UM department by defining requirements and building business cases for technology developments.
• Identify current processes and recommend changes to improve operational efficiency and productivity.
• Conduct process analysis activities including interviews, observations, task timing, and workflow mapping for current and future states.

Required Qualifications

• Bachelor's Degree in Business Administration, Business Management, or a related field; or an additional 4 years of relevant work experience in lieu of a degree.
• 5 years of operational analysis experience or 2 years as a Business Process Analyst.
• Proficiency in analyzing and organizing technical data with strong Microsoft Office skills.
• Excellent communication skills, both written and verbal, with the ability to manage multiple priorities and meet established deadlines.

Preferred Qualifications

• Deep understanding of utilization management, including experience with CareFirst’s structure and practices across commercial and government programs.
• Overall technical knowledge of systems such as Guiding Care and Facets, and familiarity with compliance requirements.
• Ability to work both independently and collaboratively, applying effective change management practices.
• Preferred certification in Business Analysis (PMI certified).

Benefits & Perks

• Compensation: Salary Range: 65,880 - 130,845. The range is indicative and factors such as experience, internal peer equity, and location are considered.
• Benefits: Comprehensive benefits package, various incentive programs, and 401k contribution programs (all subject to eligibility requirements).