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Hybrid Senior Business Solutions Consultant

at Health Care Service Corporation
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Posted 4 weeks ago

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About the role

  • This position is responsible for leading business analysis, ensuring alignment and integration across functional areas in support of divisional strategies, and ensuring consistency and efficiency of major, complex, and strategic cross-divisional and enterprise-wide projects and initiatives from inception to completion.
  • Provides oversight & coordination of project teams, resources, and budget to implement projects or initiatives according to dynamic and critical timelines.
  • Interacts with all levels of management including senior management.
  • Supports the prioritization of transformational program activities and tracks progress to goals.
  • Support writing and executing test cases based on business requirement hands on experience with SQL excel and test management

Requirements

  • Bachelor’s degree and 5 years of experience OR 9 years of experience in business testing, business analysis, process improvement, project management, business operations or relevant health care industry experience
  • 3 years of experience leading with large and complex multi-million-dollar projects.
  • Experience communicating with senior management from multiple divisions.
  • Experience developing and delivering presentations.
  • Problem resolution experience and skills.
  • Knowledge of strategic planning techniques and industry trends
  • Experience interpreting business and financial information
  • Negotiations skills.
  • Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.
  • Organizational skills.
  • Experience managing multiple complex projects successfully.
  • Detail oriented.
  • PC proficiency to include MS Office products
  • Knowledge and/or experience with: · Medicare Part A/B/D · Provider workflows & Provider application - Symplr · EDI formats – 837 I&P, 276/277, 270/271, 278, 834 · Member Enrollment – Elements application · Member Collaterals · Provider Credentialing – sCRED application · Claims Intake process · Claims Adjudication logic – FACETS application · EOB · Provider Payments – 835 remittance files & EOP · CMS reporting · SalesForce · Evolve/Broker
  • Test case management tools such as Zephyr
  • Agile tool such as Jira/Rally
  • SQL
  • Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge

Benefits

  • Health insurance
  • 401(k) savings plan
  • Pension plan
  • Paid time off
  • Paid parental leave
  • Disability insurance
  • Supplemental life insurance
  • Employee assistance program
  • Paid holidays
  • Tuition reimbursement

Job title

Senior Business Solutions Consultant

Job type

Full Time

Experience level

Senior

Salary

$82,700 - $149,300 per year

Degree requirement

Bachelor's Degree

Tech skills

SQL

Location requirements

HybridChicagoUnited States

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