Business Consultant

Job DescriptionAccountable for initiative planning, business results and ongoing departmental growth in automation and process efficiency. Acts as liaison between staff and other areas, including management, plan sponsors, provider teams, etc.,communicating workflow results, ideas, and solutions.Responsible for providing guidance and direction to claims group on outstanding projects, ProMapp, automation, and process efficiencies that support yearly initiatives.Accountable for transferring knowledge, best practices, methodology and tools to claims organization.May be responsible for concurrent initiatives as team lead and/or team member, based on resource requirements.Drives or guides development of holistic solutions and/or key strategic plans. Proactively identifies opportunities for improvement and independently influences business leader(s) to act or change behavior through negotiations and/or consultation that promotes issue resolutionCommunicates compelling and concise results to empower the claims group in decision making regarding initiative opportunities.Conducts thorough business case and departmental value analysis to determine selection, prioritization positioning and approach for broadest range of potential solutions (eg. outsourcing, process improvements, technology solutions)Fully integrates baseline and metrics tracking into initiative planning and execution for optimal results.Excellent written and oral communication skills. Strong project management skills (financial, analytical, planning and implementation). Solid leadership skills. Prioritizes tasks effectively.Required Qualifications2 years of healthcare claims experience.Experience with SOP documentation, automationExcel, Word requiredCOVID RequirementsCOVID-19 Vaccination RequirementCVS Health requires certain colleagues to be fully vaccinated against COVID-19 (including any booster shots if required), where allowable under the law, unless they are approved for a reasonable accommodation based on disability, medical condition, religious belief, or other legally recognized reasons that prevents them from being vaccinated. You are required to have received at least one COVID-19 shot prior to your first day of employment and to provide proof of your vaccination status or apply for a reasonable accommodation within the first 10 days of your employment. Please note that in some states and roles, you may be required to provide proof of full vaccination or an approved reasonable accommodation before you can begin to actively work.Preferred QualificationsInsurance / Healthcare / Financial Services experience preferred.Lean MethodologiesVendor ManagementProcess ImprovementsStandard Operating Procedure DocumentationTableauEducationUndergraduate Degree or Equivalent Work ExperienceBusiness OverviewBring your heart to CVS HealthEvery one of us at CVS Health shares a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand - with heart at its center - our purpose sends a personal message that how we deliver our services is just as important as what we deliver.Our Heart At Work Behaviors support this purpose. We want everyone who works at CVS Health to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to make health care more personal, convenient and affordable. We strive to promote and sustain a culture of diversity, inclusion and belonging every day. CVS Health is an affirmative action employer, and is an equal opportunity employer, as are the physician-owned businesses for which CVS Health provides management services. We do not discriminate in recruiting, hiring, promotion, or any other personnel action based on race, ethnicity, color, national origin, sex/gender, sexual orientation, gender identity or expression, religion, age, disability, protected veteran status, or any other characteristic protected by applicable federal, state, or local law.

Created: 2025-10-04