Sr Business Consultant (Remote)

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 This position supports the strategy, design, growth, and optimization of Medicare Advantage provider Value-Based Care (VBC) programs and alternative payment models across primary care, facility, and specialty programs.

Responsibilities include integrating analytical findings, market insights, and business needs to inform VBC program strategy and design; evaluating program performance and identifying strategic enhancements; developing VBC contracting strategies; developing VBC contract templates and program documentation; and creating executive-ready recommendations and presentations.

Candidate must possess relevant Medicare Advantage and/or provider VBC experience; exceptional communication and presentation skills; strong strategic and analytical capabilities; and demonstrated ability to independently lead complex workstreams and drive recommendations forward. 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 and negotiations skills. Verbal and written communications skills including establishing working relationships across departments, Preparing presentations to senior management and establishing team environment.

Organizational skills and detail oriented Experience managing multiple complex projects successfully. PC proficiency to include MS Office products. Preferred Job Qualifications: Master’s degree, such as an MBA, MPH, MHA, or related advanced degree. Direct experience with Medicare Advantage VBC strategy and alternative payment model design Experience with provider network strategy, provider contracting/value-based contracting, Contract development, provider performance, or Medicare Advantage Stars.

Experience partnering with analytical teams and translating analytical findings into strategic insights and decisions. Proven strategic thinking and execution. Ability to drive decisions, create optionality and determine impacts of options. #LI-Remote #LI-AS1 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. This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii. 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. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.

• Bachelor’s degree with 5 years’ experience or 9 years’ relevant healthcare/business experience
• 3 years leading large, complex multi-million-dollar projects and senior management communication
• Proficient in strategic planning, problem resolution, presentations, negotiations, and MS Office products