Senior Business Consultant

Health Care Service Corp.; Richardson (TX); Hybrid; USD 70,000 - 126,000; Full time

Benefits offered by this job

Hybrid work policy

Total rewards package

Job summary

The Sr. Business Consultant at Health Care Service Corporation plays a key role in supporting regulatory compliance and business operations for IFM health insurance products.

You will lead regulatory filings, coordinate with Legal, Product, Network and operations teams, and respond to regulator inquiries to ensure ongoing compliance. This role also drives strategic projects, process improvements, and timely execution of critical initiatives, with a hybrid on-site schedule as part of HCSC's

Qualifications

• Bachelor’s degree and 5 years of experience OR 9 years of experience in 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.

Responsibilities

• Lead complex regulatory filings and regulatory filing activities.
• Develop, submit, and maintain benefit booklets and SBC documents and other regulatory materials.
• Partner with Legal, Product, Network and operations teams to gather and validate filing requirements.
• Respond to regulator inquiries and ensure compliance with evolving state and federal regulations.
• Provide leadership on strategic projects and drive process improvements.
• Ensure timely and accurate execution of critical business initiatives.

Skills

Regulatory compliance

Regulatory filings

Project management

Cross-functional collab

Stakeholder communication

Presentation skills

Problem solving

Education

Bachelor’s degree in related field

Tools

MS Office

Job description

Job Summary

The Sr. Business Consultant plays a critical role in supporting regulatory compliance and business operations for Individual and Family Markets (IFM) health insurance products. This position leads complex business initiatives, cross-functional collaboration, and regulatory filing activities, including the development, submission, and maintenance of benefit booklets, Summary of Benefits and Coverage (SBC) documents, and other state and federal regulatory materials. The role partners closely with Legal, Product, Network, and operational teams to gather and validate filing requirements, respond to regulator inquiries, and ensure compliance with evolving state and federal regulations. In addition to serving as a subject matter expert on regulatory filings and Department of Insurance (DOI) requirements, this position provides leadership on strategic projects, drives process improvements, and helps ensure the timely and accurate execution of critical business initiatives.

Required Job Qualifications

• Bachelor’s degree and 5 years of experience OR 9 years of experience in 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

Preferred Required Job Qualifications

• Health insurance or healthcare industry experience with emphasis on Product/Sales knowledge
• Knowledge of health insurance regulatory filing processes.
• Ability to drive decisions, create optionality and determine impacts of options

This position is expected to adhere to HCSC's hybrid flex policy of 3 days on-site weekly at a listed approved location.

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 https://careers.hcsc.com/totalrewards. 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. Flex employees are expected to be in the office a minimum of three days a week. Management will have discretion to modify an employee's weekly schedule for exigent circumstances.

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. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range $69,800.00 - $125,900.00 Exact compensation may vary based on skills, experience, and location.

Join our talent community and receive the latest HCSC news, content, and be first in line for new job opportunities. Join our Talent Community. For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment. HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process.