Senior Business Consultant

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

Job summary

Health Care Service Corporation (HCSC) is seeking a Sr. Business Consultant to support regulatory compliance and business operations for IFM health insurance products.

This role leads complex initiatives, cross-functional collaboration, and regulatory filing activities including SBCs and benefit booklets. You will partner with Legal, Product, Network, and operations teams to gather requirements, respond to regulator inquiries, and ensure compliance with evolving state and federal rules.

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

Responsibilities

• Lead complex business initiatives and regulatory filing activities for IFM health insurance products.
• Gather and validate filing requirements and respond to regulator inquiries.
• Ensure compliance with evolving state and federal regulations.
• Partner with Legal, Product, Network, and operations teams.
• Drive process improvements and timely execution of critical initiatives.

Skills

Regulatory compliance

Business analysis

Process improvement

Project management

Stakeholder communication

Presentation skills

Problem solving

Strategic planning

Financial interpretation

Negotiation

Organizational skills

MS Office

Detail oriented

Job description

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

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.