Job Description

Overview

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.

Role

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

• Bachelors 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
• SalesForce
• 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

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics.

To learn more about available benefits, please visit

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