Lead Business Consultant
About The Position
The Lead Business Consultant serves as a strategic and technical subject matter expert supporting Individual & Family Market (IFM) health insurance products through benefit configuration, document generation, regulatory filing support, and operational implementation. The role partners with Product, Compliance, Regulatory, Operations, Technology teams, and external vendors to assess the impact of benefit and plan design changes, translate business requirements into system and document updates, and ensure accurate member-facing materials and filings comply with state and federal regulations. The position leads complex cross-functional initiatives, including platform enhancements, system upgrades, and document generation solutions, and drives alignment across stakeholders and vendors. It also oversees analysis, planning, risk management, and implementation for health plan administration processes to achieve business objectives, regulatory requirements, and operational outcomes. The position follows HCSC’s hybrid flex policy, with a minimum of three days in the office each week at an approved location. Candidates requiring current or future employment-based visa sponsorship are not eligible for consideration.
Requirements
- Bachelor’s degree and 7 years of experience, or 11 years of experience, in project management, business analysis, process improvement, strategic planning, product administration, or another relevant healthcare function.
- 4 years of experience leading large, complex, multi-million-dollar projects.
- Demonstrated experience leading, coaching, and mentoring teams and more junior resources.
- Experience communicating with senior management and executive leadership from multiple divisions.
- Experience developing and delivering presentations to an executive audience.
- Problem-resolution experience and skills.
- Knowledge of strategic planning techniques and industry trends.
- Experience interpreting business and financial information.
- Verbal and written communication skills, including establishing working relationships across departments, preparing presentations for senior management, and establishing a team environment.
- Experience managing and delegating assignments across multiple complex projects successfully in a matrixed environment.
- PC proficiency, including MS Office products.
- Organizational skills.
- Negotiation skills.
- Analytical skills.
- Attention to detail.
Nice To Haves
- Experience with health plan administration or product configuration platforms.
- Working knowledge of JSON, SQL, Advanced Excel, Pivot tables, and data validation techniques.
- Proficiency with Power BI, Tableau, or other business intelligence tools.
- Experience supporting vendor implementations and third-party technology solutions and vendors.
- Ability to drive decisions, create optionality, and determine the impacts of options.
- Experience building strong partnerships across Product, Operations, Compliance, and Technology vendors.
Responsibilities
- Support Individual & Family Market health insurance products through benefit configuration, document generation, regulatory filing support, and operational implementation.
- Partner with Product, Compliance, Regulatory, Operations, Technology teams, and external vendors to evaluate benefit and plan design changes.
- Translate business requirements into system and document updates.
- Help ensure member-facing materials and regulatory filings are accurate and comply with state and federal regulations.
- Lead complex cross-functional initiatives, including platform enhancements, system upgrades, and document generation solutions.
- Drive alignment across stakeholders and vendors.
- Oversee analysis, planning, risk management, and implementation activities related to health plan administration processes.
- Manage and delegate assignments across multiple complex projects in a matrixed environment.
- Lead, coach, and mentor teams and more junior resources.
- Communicate with senior management and executive leadership and develop and deliver presentations to executive audiences.
Benefits
- Health and wellness benefits
- 401(k) savings plan
- Pension plan
- Paid time off
- Paid parental leave
- Disability insurance
- Supplemental life insurance
- Employee assistance program
- Paid holidays
- Tuition reimbursement
- Other incentives
- Annual incentive bonus plan, subject to its terms and conditions
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What This Job Offers
Job Type
Full-time
Career Level
Senior
