Sr. Business Consultant Job in San Diego, California US
Sr. Business Consultant
As new CMS issuances and guidance come forward, review, interpret guidance, and create new requirements working in collaboration with KPIT, Operations and the Medicare line of business. Resource will support Medicare Membership by supporting LIS (Low Income Subsidy) match rate, including monitoring, and root cause analysis to support a high match rate percentage. The role may also include analysis on important regulatory areas impacting Medicare membership such as membership related prescription drug event (PDE) errors or other areas of interest. Essential Functions: - Uses professional concepts and company policies and procedures to solve a wide range of difficult problems in imaginative and practical ways. - Develops and leverages relationships with peers, supervisors and management. - Understand their functional area business processes and assigned area. - Independently initiates, investigates, documents, and analyzes client requirements in project areas such as: new/existing business operating models with innovative approaches to solutions support, market research of emerging or available product functionality and operational readiness assessment. - Assesses scope and impact of client business needs. - Develops business cases with cost, service, and benefit dimensions of proposed projects that are used at management and executive levels for funding and scope decisions. - Conducts and/or participates in the analysis of client business processes and functional requirements and in the preparation of appropriate documentation to communicate and validate the information. - Conducts workflow, process diagrams and gap analysis. - May assist in the development of project plans. - May use associated project planning tools. - Leads/facilitates meetings as needed - Provide support to projects, Medicare line of business, as well as the projects team. Qualifications: Basic Qualifications: - Minimum of 3 years, to include a minimum of 2 years in a consulting role. - Bachelor's degree in Business/Health Care Administration or related discipline or 4 additional years of work experience