Blue Cross and Blue Shield of Illinois, Montana, N Business Solutions Consultant in Chicago, Illinois
This position is responsible for analyzing the complex business problems being addressed by product, member, provider, regulatory and enterprise strategies, and new business cases and developing solutions for clients. Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Defines client needs, determines a strategy and develops a plan/proposal for delivery of the project. May provide consultation to clients and lead cross-functional teams to address business issues. Works with Risk Adjustment vendors to manage outreach and operations related to risk adjustment initiatives. Participates in weekly meetings with multiple vendors. Analyzes complex business problems and issues using data from internal and external sources to provide insight to decision-makers. Defines client needs, determines a strategy and develops a plan/proposal for delivery of the project. May provide consultation to clients and lead cross-functional teams to address business issues. Communicate and interact effectively and professionally with co-workers, management, vendors, etc. Comply with HIPAA, Diversity Principles, Corporate Integrity, Compliance Program policies and other applicable corporate and departmental policies. Maintain communication with management regarding development within areas of assigned responsibilities and perform special projects as required or requested.
Bachelor’s Degree OR limited experience gathering and assessing business information needs and preparing system requirements. * Requires in-depth knowledge and experience * Uses best practices and knowledge of internal or external business issues to improve products or services * Independently solves complex problems; takes a new perspective using existing solutions * Works independently, receives minimal guidance * Acts as a resource for colleagues with less experience; may direct the work of other staff members * Knowledge to assist business areas in defining their information strategy. * Assist developing business cases and related financial literacy to support cases, and ability to write business cases demonstrating future direction for leveraging information in the member, provider, product, and regulatory domains. * Gathering and document business requirements in support of information-related strategies * Knowledge of various software development processes, including requirements gathering, analysis and design, and development, agile methodologies, and tools and technologies. * Create and conduct presentations to inform and influence, with the ability to think laterally and creatively. * Clear and concise verbal and written communication skills. * Experience interacting successfully with management and staff across multiple departments. * Proficiency with Microsoft Office (e.g. Excel, PowerPoint, Word, Visio) for written communication and analysis.
PREFERRED JOB REQUIREMENTS:
Bachelor’s degree in Health Care Administration or Business Administration* Previous experience working on Risk Adjustment for Medicare Advantage and/or Retail Exchange* Knowledge of health care legislation and/or health care operations experience* Knowledge of government reporting and analytics.* Ability to effectively and efficiently manage multiple work-streams.* Ability to build rapport and effectively partner with Network, Branding, Communications, Data, and external vendors.* Experience in project management, business process analysis, or operations/systems analysis* Experience defining SLAs (service level agreements) is a plus.* Initiative: Identifies what needs to be done and acts before being ask or required to; does more than what is normally required in a situation; seeks out others involved in a situation to learn their perspectives; takes independent action to change the direction of events.
LI - POST
Location: IL - Chicago, TX - Richardson
Activation Date: Monday, February 26, 2018
Expiration Date: Monday, March 19, 2018