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Health Care Service Corporation · 1 day ago

Sr Business Solutions Consultant

Nashville, TN

Full-time

Hybrid

Mid, Senior Level

$84K/yr - $152K/yr

5+ years exp

Health Care Service Corporation (HCSC) is a purpose-driven company that invests in the professional development of its employees. The Sr Business Solutions Consultant is responsible for leading business analysis and ensuring alignment across functional areas to support divisional strategies, overseeing complex projects and initiatives from inception to completion.

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

Providing oversight & coordination of project teams, resources, and budget to implement projects or initiatives according to dynamic and critical timelines

Interacting with all levels of management including senior management

Supporting the prioritization of transformational program activities and tracking progress to goals

Supporting writing and executing test cases based on business requirements

Qualification

Business analysisSQLHealthcare industry experienceProject managementProblem resolutionPresentation skillsNegotiation skillsOrganizational skillsPC proficiencyStrategic planningAgile toolsTest case managementSalesForceProvider workflowsClaims Adjudication logicCMS reportingDetail 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