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Lead Business Consultant
Health Care Service Corporation. Serve as a strategic and technical subject matter expert supporting Individual & Family Market health insurance products .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in health insurance product administration, regulatory compliance, and strategic planning, with a strong focus on leading complex projects and cross-functional initiatives. Proficient in translating business requirements into actionable solutions while ensuring alignment across stakeholders and adherence to regulatory standards.
Highest-signal resume keywords
Health Insurance Product AdministrationProject ManagementRegulatory ComplianceStrategic PlanningData Analysis
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Benefit ConfigurationDocument GenerationOperational ImplementationFinancial Information InterpretationProblem ResolutionNegotiationAnalytical SkillsDetail-OrientedJSONSQL
Soft Skills
Communication SkillsOrganizational SkillsLeadershipCoachingMentoring
Tools & Technologies
MS OfficePower BITableauBusiness Intelligence ToolsData Validation Techniques
Industry Keywords
Health Plan AdministrationProduct ConfigurationRegulatory FilingStakeholder AlignmentVendor Management
Tech Stack
Tools & technologiesSQLTableau
About the role
Key responsibilities & impact- Serve as a strategic and technical subject matter expert supporting Individual & Family Market health insurance products
- Perform benefit configuration, document generation, regulatory filing support, and operational implementation activities
- Partner with Product, Compliance, Regulatory, Operations, Technology teams, and external vendors
- Evaluate the impact of benefit and plan design changes
- Translate business requirements into system and document updates
- Ensure accurate member-facing materials and filings comply with state and federal regulations
- Lead complex cross-functional initiatives, including platform enhancements, system upgrades, and document generation solutions
- Drive alignment across stakeholders and vendors
- Oversee analysis, planning, risk management, and implementation activities for health plan administration processes
- Ensure business objectives, regulatory requirements, and operational outcomes are achieved
Requirements
What you’ll need- Bachelor’s degree and 7 years of experience OR 11 years of experience in project management, business analysis, process improvement, strategic planning, product administration or another relevant healthcare function
- 4 years of experience leading large and complex multi-million-dollar projects
- Experience leading, coaching, and mentoring teams and more junior resources
- Experience communicating with senior management and executive leadership from multiple divisions
- Experience developing and delivering presentations to an executive audience
- Problem resolution experience and skills
- Knowledge of strategic planning techniques and industry trends
- Experience interpreting business and financial information
- Verbal and written communication skills, including establishing working relationships across departments and preparing presentations to senior management
- Experience managing and delegating assignments across multiple complex projects in a matrixed environment
- PC proficiency, including MS Office products
- Organizational skills
- Negotiation skills
- Analytical skills
- Detail-oriented
- Preferred: experience with health plan administration or product configuration platforms
- Preferred: working knowledge of JSON, SQL, Advanced Excel, Pivot tables, and data validation techniques
- Preferred: proficiency with Power BI, Tableau, or other business intelligence tools
- Preferred: experience supporting vendor implementations and third-party technology solutions and vendors
- Preferred: ability to drive decisions, create optionality, and determine impacts of options
- Preferred: experience building partnerships across Product, Operations, Compliance, and Technology vendors
- Candidates requiring current or future visa sponsorship, including H-1B, TN, OPT, CPT, or other employment-based sponsorship, are not eligible
Benefits
Comp & perks- Curated development plans and professional development opportunities
- 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
- Hybrid flex policy with office attendance flexibility for exigent circumstances