IT Business Consultant

Health Care Service Corporation

. Ensure the quality, accuracy, and regulatory compliance of business and technology solutions supporting Medicare operations .

Posted 9/30/2026full-timeUnited StatesMid-LevelSenior💰 $69,800 - $125,900 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in business analysis, quality assurance, and user acceptance testing within healthcare environments, particularly Medicare. Proficient in developing test strategies and collaborating with cross-functional teams to ensure compliance and operational efficiency.

Highest-signal resume keywords

Business TestingQuality AssuranceUser Acceptance Testing (UAT)Agile DeliveryHealthcare Industry Experience

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Business AnalysisProcess ImprovementTest Strategy DevelopmentTest Scenario DesignEnd-to-End TestingData ModelingSQLHealthcare Claims ProcessingRegulatory ComplianceProject Management

Soft Skills

Communication SkillsAnalytical SkillsProblem-Solving SkillsCollaborationStakeholder Management

Tools & Technologies

JiraConfluenceQTestTriZetto FacetsTriZetto EAM

Industry Keywords

MedicareMedicaidHealth InsuranceHealthcare OperationsStrategic Planning

Tech Stack

Tools & technologies

SQL

About the role

Key responsibilities & impact

Ensure the quality, accuracy, and regulatory compliance of business and technology solutions supporting Medicare operations
Partner with business stakeholders, product teams, operations, and technology organizations
Validate business requirements
Design comprehensive test scenarios
Execute end-to-end testing activities
Ensure solutions meet organizational and CMS requirements
Serve as a key liaison between business and technology teams
Thoroughly test and deliver system enhancements and strategic initiatives
Communicate testing results, defects, and business impacts to stakeholders
Identify risks, evaluate impacts, and recommend solutions

Requirements

What you’ll need

Bachelor Degree and 3 years’ experience OR 7 years’ experience in business analysis, process improvement, strategic planning, research, project management, product administration, product operations or relevant health care industry experience
Minimum of 5 years of experience in business testing, quality assurance, User Acceptance Testing (UAT), and business process validation
At least 3 years of experience supporting healthcare-related lines of business, preferably within Medicare, Medicare Advantage, Medicaid, or Health Insurance environments
Knowledge of strategic planning techniques and industry trends
Excellent verbal and written communication and organization skills
Experience with changing assignments and priorities
Experience interacting with personnel of multiple departments and at various levels in the organization
Project management skills, including strong organization, prioritization and problem solving skills
Strong analytical and problem-solving skills
Experience developing test strategies, test scenarios, test cases, and executing end-to-end business process testing
Experience validating end-to-end business processes and system capabilities across healthcare operational workflows
Experience collaborating with cross-functional teams
Experience working in Agile and Scrum delivery environments
Experience in business testing, quality assurance, quality engineering, and user acceptance testing (UAT)
Experience within the healthcare industry, preferably supporting Medicare, Medicare Advantage, Medicaid, or commercial health insurance products
Knowledge of complex, high-volume healthcare claims processing environments
Strong understanding of healthcare business processes
Working knowledge of data modeling, database concepts, and SQL
Experience with TriZetto healthcare core administration platforms such as Facets and EAM
Proficiency with Agile delivery and testing tools, including Jira, Confluence, and qTest
Experience supporting large-scale healthcare transformation, regulatory, and compliance-driven initiatives
Ability to analyze complex business requirements, identify risks, and recommend effective testing strategies
Strong stakeholder management, collaboration, and communication skills
Sponsorship is not available, including if you are currently on OPT

Benefits

Comp & perks

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