More jobs:
Sr Business Solutions Consultant
Job in
Chicago, Cook County, Illinois, 60290, USA
Listed on 2025-12-20
Listing for:
Health Care Service Corporation
Full Time
position Listed on 2025-12-20
Job specializations:
-
IT/Tech
Business Systems/ Tech Analyst -
Business
Business Systems/ Tech Analyst
Job Description & How to Apply Below
TN - Nashville:
IL - Chicago:
TX - Richardson posted on:
Posted 30+ Days Agojob requisition :
R0046527
At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers.
Join HCSC and be part of a purpose-driven company that will invest in your professional development.# #
** Job Summary**### 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###
*
* NOTE:
This hybrid role can be located in CHICAGO IL, NASHVILLE, TN or RICHARDSON TX ~ relocation will not be offered; sponsorship is not available.
**** Required
Job Qualifications:
*
* ** 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**
* · Provider workflows & Provider application - Symplr
* · EDI formats – 837 I&P, 276/277, 270/271, 278, 834
* · Member Enrollment – Elements application
* · Member Collaterals
* · Provider Credentialing – sCRED application
* · Claims Intake process
* · Claims Adjudication logic – FACETS application
* · EOB
* · Provider Payments – 835 remittance files & EOP
* · CMS reporting
* · Sales Force
* · Evolve/Broker
** Test case management tools such as Zephyr
** Agile tool such as Jira/Rally SQL Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge
** Preferred Required
Job Qualifications:
** Proven strategic thinking and execution Ability to drive decisions, create optionality and determine impacts of options#LI-BS1#LI-Hybrid#INCR### ###
** Pay Transparency Statement:
** At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees.
Learn more about our benefit offerings by visiting .The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.## HCSC Employment Statement:
We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment…
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