Health Care Service Corporation
Sr Business Solutions Consultant
Health Care Service Corporation, Nashville, Tennessee, United States, 37247
Sr Business Solutions Consultant – Health Care Service Corporation
Join to apply for the
Sr Business Solutions Consultant
role at
Health Care Service Corporation .
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
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. Supports writing and executing test cases based on business requirements with hands‑on experience with SQL, Excel and test management.
NOTE: This hybrid role can be located in Chicago, IL; Nashville, TN; or Richardson, TX. Relocation will not be offered; sponsorship is not available.
Required Job Qualifications
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 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.
Negotiation skills.
Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing a team environment.
Organizational skills.
Experience managing multiple complex projects successfully.
Detail oriented.
PC proficiency to include MS Office products.
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 tools such as Jira/Rally; SQL; health insurance or healthcare industry experience with emphasis on Product/Sales knowledge.
Preferred Job Qualifications
Proven strategic thinking and execution.
Ability to drive decisions, create optionality and determine impacts of options.
Compensation: $82,700.00 - $149,300.00. Exact compensation may vary based on skills, experience, and location.
HCSC Employment Statement We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click
https://careers.hcsc.com/totalrewards
Referrals increase your chances of interviewing at Health Care Service Corporation by 2x.
Get notified about new Senior Business Solutions Consultant jobs in
Nashville, TN .
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Consulting, Information Technology, and Sales
Industries Hospitals and Health Care
#J-18808-Ljbffr
Sr Business Solutions Consultant
role at
Health Care Service Corporation .
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.
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. Supports writing and executing test cases based on business requirements with hands‑on experience with SQL, Excel and test management.
NOTE: This hybrid role can be located in Chicago, IL; Nashville, TN; or Richardson, TX. Relocation will not be offered; sponsorship is not available.
Required Job Qualifications
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 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.
Negotiation skills.
Verbal and written communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing a team environment.
Organizational skills.
Experience managing multiple complex projects successfully.
Detail oriented.
PC proficiency to include MS Office products.
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 tools such as Jira/Rally; SQL; health insurance or healthcare industry experience with emphasis on Product/Sales knowledge.
Preferred Job Qualifications
Proven strategic thinking and execution.
Ability to drive decisions, create optionality and determine impacts of options.
Compensation: $82,700.00 - $149,300.00. Exact compensation may vary based on skills, experience, and location.
HCSC Employment Statement We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.
To learn more about available benefits, please click
https://careers.hcsc.com/totalrewards
Referrals increase your chances of interviewing at Health Care Service Corporation by 2x.
Get notified about new Senior Business Solutions Consultant jobs in
Nashville, TN .
Seniority level Mid‑Senior level
Employment type Full‑time
Job function Consulting, Information Technology, and Sales
Industries Hospitals and Health Care
#J-18808-Ljbffr