Senior Business Consultant

HCSC•Richardson, TX

4d•Hybrid

About The Position

The Senior Business Consultant supports regulatory compliance and business operations for Individual and Family Markets (IFM) health insurance products. The role leads complex business initiatives, cross-functional collaboration, and regulatory filing activities, including the development, submission, and maintenance of benefit booklets, Summary of Benefits and Coverage (SBC) documents, and other state and federal regulatory materials. The consultant partners with Legal, Product, Network, and operational teams to gather and validate filing requirements, respond to regulator inquiries, and ensure compliance with evolving state and federal regulations. As a subject matter expert on regulatory filings and Department of Insurance (DOI) requirements, the role also provides leadership on strategic projects, drives process improvements, and helps ensure timely and accurate execution of critical business initiatives. The position follows HCSC’s hybrid flex policy, with at least three days per week on-site at an approved location. Compensation is within a base pay range of $69,800 to $125,900 annually, with exact compensation varying by skills, experience, and location. The role aligns with an annual incentive bonus plan, subject to its terms and conditions.

Requirements

Bachelor’s degree and five years of experience, or nine years of experience, in business analysis, process improvement, project management, business operations, or relevant healthcare industry experience.
Three years of experience leading large, 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 communication 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.
Attention to detail.
PC proficiency, including Microsoft Office products.

Nice To Haves

Health insurance or healthcare industry experience, with emphasis on product or sales knowledge.
Knowledge of health insurance regulatory filing processes.
Ability to drive decisions, create optionality, and determine the impacts of options.

Responsibilities

Lead complex business initiatives and cross-functional collaboration for Individual and Family Markets health insurance products.
Develop, submit, and maintain benefit booklets, Summary of Benefits and Coverage documents, and other state and federal regulatory materials.
Partner with Legal, Product, Network, and operational teams to gather and validate regulatory filing requirements.
Respond to regulator inquiries and support compliance with evolving state and federal regulations.
Serve as a subject matter expert on regulatory filings and Department of Insurance requirements.
Provide leadership on strategic projects and drive process improvements.
Help ensure timely and accurate execution of critical business initiatives.
Manage multiple complex projects successfully.
Develop and deliver presentations, including presentations to senior management.
Communicate with senior management across multiple divisions and establish working relationships across departments.