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Health Care Service Corporation · 2 months ago

Sr Business Solutions Consultant

TN - Nashville

Full-time

Hybrid

Mid, Senior Level

$83K/yr - $149K/yr

5+ years exp

Health Care Service Corporation is a purpose-driven company that invests in the professional development of its employees. The Sr Business Solutions Consultant will lead business analysis and coordinate complex projects, ensuring alignment across functional areas and managing resources effectively.

Health InsuranceInsurance

Growth Opportunities

No H1B

Responsibilities

Leading business analysis

Ensuring alignment and integration across functional areas in support of divisional strategies

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

Qualification

Business analysisSQLTest case managementProject managementHealthcare industry experiencePresentation skillsProblem resolutionPC proficiencyStrategic planning knowledgeAgile toolsSalesForceNegotiation skillsOrganizational skillsDetail oriented

Required

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

Knowledge and/or experience with Provider workflows & Provider application - Symplr

Knowledge and/or experience with EDI formats – 837 I&P, 276/277, 270/271, 278, 834

Knowledge and/or experience with Member Enrollment – Elements application

Knowledge and/or experience with Member Collaterals

Knowledge and/or experience with Provider Credentialing – sCRED application

Knowledge and/or experience with Claims Intake process

Knowledge and/or experience with Claims Adjudication logic – FACETS application