Senior Business Consultant
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 developing, submitting, and maintaining benefit booklets, Summary of Benefits and Coverage (SBC) documents, and other state and federal regulatory materials. The consultant works 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.
Requirements
- Bachelor’s degree and 5 years of experience, or 9 years of experience in 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 communication skills, including establishing working relationships across departments, preparing presentations for senior management, and establishing a team environment.
- Organizational skills.
- Experience managing multiple complex projects successfully.
- Detail oriented.
- PC proficiency, including MS Office products.
Nice To Haves
- Health insurance or healthcare industry experience, with emphasis on Product/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 help ensure 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 and communicate with senior management across divisions.
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 the plan's terms and conditions
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What This Job Offers
Job Type
Full-time
Career Level
Senior
