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 Lead Business Consultant serves as a strategic and technical subject matter expert supporting Individual & Family Market (IFM) health insurance products through benefit configuration, document generation, regulatory filing support, and operational implementation activities. This role partners closely with Product, Compliance, Regulatory, Operations, Technology teams, and external vendors to evaluate the impact of benefit and plan design changes, translate business requirements into system and document updates, and ensure accurate member-facing materials and filings are produced in compliance with state and federal regulations. The position provides leadership for complex cross-functional initiatives, including platform enhancements, system upgrades, and document generation solutions, while driving alignment across stakeholders and vendors.

The Lead Business Consultant also oversees analysis, planning, risk management, and implementation activities related to health plan administration processes, ensuring business objectives, regulatory requirements, and operational outcomes are successfully achieved.

Please note: Candidates who require current or future visa sponsorship (e.g., H-1B, TN, OPT, CPT, or other employment-based sponsorship) are not eligible for consideration for this position.

Required Job Qualifications: 

• 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 other relevant healthcare function
• 4 years of experience leading with large and complex multi-million-dollar projects.
• Demonstrated 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 communications skills including establishing working relationships across departments, preparing presentations to senior management, and establishing team environment.
• Experience managing and delegating assignments across multiple complex projects successfully in a matrixed environment.
• PC proficiency to include MS Office products.
• Organizational skills.
• Problem resolution experience and skills.
• Negotiations skills.
• Analytical skills.
• Detail oriented.

Preferred Required Job Qualifications:

• Experience with health plan administration or product configuration platforms.
• Working knowledge of JSON, SQL, Advanced Excel, Pivot tables and data validation techniques.
• Proficiency with Power BI, Tableau, or other business intelligence tools.
• Experience supporting vendor implementations and third-party technology solutions and vendors.
• Ability to drive decisions, create optionality and determine impacts of options.
• Experience building strong partnerships across Product, Operations, Compliance and Technology vendors.

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

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

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

Exact compensation may vary based on skills, experience, and location.