Sr Business Solutions Consultant

HCSCRichardson, TX
77d$82,700 - $149,300Hybrid

About The Position

This position is responsible for leading business analysis, ensuring alignment and integration across functional areas in support of divisional strategies, and 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.

Requirements

  • 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 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.
  • 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, Provider workflows & Provider application - Symplr, EDI formats, Member Enrollment, Member Collaterals, Provider Credentialing, Claims Intake process, Claims Adjudication logic, EOB, Provider Payments, CMS reporting, SalesForce, Evolve/Broker, Test case management tools such as Zephyr, Agile tools such as Jira/Rally, SQL, and health insurance or healthcare industry experience.

Nice To Haves

  • Proven strategic thinking and execution.
  • Ability to drive decisions, create optionality and determine impacts of options.

Responsibilities

  • Lead business analysis and ensure alignment across functional areas.
  • Oversee and coordinate project teams, resources, and budget.
  • Implement projects or initiatives according to timelines.
  • Interact with all levels of management, including senior management.
  • Support prioritization of transformational program activities.
  • Track progress to goals.
  • Write and execute test cases based on business requirements.

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.
  • Annual incentive bonus plan.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Industry

Insurance Carriers and Related Activities

Education Level

Bachelor's degree

Number of Employees

5,001-10,000 employees

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