Full-Time

Operations Perf Mgmt Consultant

Posted on 10/24/2024

HCSC

HCSC

Health insurance provider in multiple states

Financial Services
Healthcare

Compensation Overview

$80.7k - $145.7kAnnually

Senior, Expert

Chicago, IL, USA

Category
Operations Consulting
Consulting
Required Skills
Power BI
Python
R
SQL
Tableau
Data Analysis
Requirements
  • Bachelor’s degree and 5 years of experience with a broad range of exposure to systems analysis, application development, database design and administration or 9 years of experience with a broad range of exposure to systems analysis, application development, database design and administration
  • Experience with and understanding of Governance, Risk and Compliance concepts and processes (e.g. policies, audits, controls metrics)
  • Experience in GRC solution.
  • Experience with compliance-based tools and processes for standardization, centralization and automation (e.g. policies, audits, controls, metrics).
  • Experience in simplifying and standardizing complex concepts and/or processes
  • Business acumen
  • Oral & written communication skills, including the ability to articulate complex concepts to various technical and non-technical audiences
  • Collaborate well with individuals across the business and IT, as well as at all levels of the organization
  • Ability to execute, influence, prioritize, and make trade-offs
  • Adaptability / ability to manage/ lead change
  • Consultative problem-solving / analytical thinking
  • Data analytics, visualization and modelling
  • Experience with related data tools
  • A track record of business process improvement and leading change.
  • Proven leadership and team motivation skills.
  • Experience in scheduling and forecasting.
  • Experience in managing cross-team projects to completion.
  • Interpersonal skills, teamwork, and collaboration.
  • Time management/prioritization.
  • Problem solving/analytical skills
  • Work Independently, with guidance in only the most complex situations
  • Understand IT /IS/Business concepts and how to articulate those in terms of risk.
  • Interprets internal or external business issues and concepts and can translate those into concepts that must be addressed via policy.
  • Understand key IT / IS laws and regulations, such as the Health Insurance Portability and Accountability Act, as well as governance and compliance frameworks (e.g. NIST, COBIT, ITIL, HITRUST).
  • Experience with audit and compliance controls. This could include previous IT auditing experience and / or technical controls implementation, as well as the ability to respond appropriately to audit and assessment findings.
  • Initiate and invoke creativity to solve complex problems; takes an “outside –in” perspective to identify innovative solutions
  • May lead functional teams or projects.
  • Bachelors Degree in Computer Science, Information Systems or other related field.
  • Experience with Audit and Compliance controls
  • Experience (2 years) with Business Resiliency & Continuity planning which includes, Business Impact Assessments, Business Continuity Plan development, BC Exercise Planning and Event Management
  • Policy development and review
  • Industry certification (i.e. CISA, KPI (Metrics), HCISPP)
  • Data Modelling/ Visualization experience
  • Understand key IT/IS concepts and how to articulate them in terms of risk
  • Understanding of key IT/IS laws and regulations such as HIPAA, as well as governance and compliance frameworks (NIST, COBIT, ITIL, HITRUST)
  • Proficient with BlueChip, BlueSTAR and BlueSquaredWorking knowledge of SQL and relational databases; SQL, Python, R coding a plus
  • Experience with data visualization tools, such as Tableau and Power BI
  • Demonstrated desire for continued technical growth.
Responsibilities
  • responsible for the planning, design, enforcement of Enterprise Business Resiliency, including Crisis Management and Business Continuity Planning and event management
  • requires strong Governance, Risk and Compliance (GRC) policies, standards and procedures which safeguard the integrity of enterprise systems, files and data elements
  • maintaining knowledge of changing technologies, and providing recommendations for adaptation of new processes or policies
  • collaborating with and feeds operational risk information into the Enterprise Risk Management program
  • provides operational oversight of the shared services practices for Business Resiliency as well as policy/audits/controls/metrics by ensuring quality content, identifying issues and opportunities for improvement to Leadership/Management.

HCSC provides health insurance services across five states: Illinois, Montana, New Mexico, Oklahoma, and Texas. The company offers a variety of health insurance plans designed for individuals, families, and businesses, ensuring that different healthcare needs are met. HCSC generates revenue through premiums paid by its members and focuses on delivering quality care. The company also invests in health and wellness programs aimed at reducing healthcare costs and improving the health outcomes of its members. With nearly 100 years of experience, HCSC distinguishes itself from competitors by its commitment to compassion and a focus on innovative solutions that empower people to lead healthier lives.

Company Stage

N/A

Total Funding

$472.7M

Headquarters

Chicago, Illinois

Founded

1936

Simplify Jobs

Simplify's Take

What believers are saying

  • HCSC is expanding its presence with a new office in Houston by 2025.
  • The acquisition of Cigna's Medicare businesses will enhance HCSC's market reach.
  • HCSC's collaboration with Feeding America addresses root causes of hunger.

What critics are saying

  • Integrating Cigna's Medicare businesses may lead to operational inefficiencies.
  • Economic changes in Texas could impact the success of the new Houston office.
  • Regulatory hurdles may affect the Maternal and Infant Health Initiative in New Mexico.

What makes HCSC unique

  • HCSC has nearly a century of experience in the health insurance industry.
  • The company focuses on innovation and quality care to improve member outcomes.
  • HCSC invests in health and wellness programs to reduce healthcare costs.

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