Tufts Health Plan
Senior Business Consultant
Tufts Health Plan, Canton, Massachusetts, us, 02021
Who We ArePoint32Health is a leading health and wellbeing organization, delivering an ever-better personalized health care experience to everyone in our communities. At Point32Health, we are building on the quality, nonprofit heritage of our founding organizations, Tufts Health Plan and Harvard Pilgrim Health Care, where we leverage our experience and expertise to help people find their version of healthier living through a broad range of health plans and tools that make navigating health and wellbeing easier.We enjoy the important work we do every day in service to our members, partners, colleagues and communities.Job SummaryThe Senior Business Consultant, utilizing business consulting & transformation methods and techniques, collaborates with other members of the department, IS and the Business to help improve results. The Senior Business Consultant is part of the Business Consulting & Transformation Services Department that provides services such as strategy development at the department level, process assessments, future state design and the development of transformation roadmaps. These services are available to any department within the company.The Senior Business Consultant performs under intermittent supervision, in which the Manager and/or Director makes assignments by defining project objectives, priorities and deadlines. Must be able to lead medium business consulting engagements and may lead large engagements which can involve multiple business units. The Senior Consultant resolves simple and complex problems in accordance with instructions, policies and accepted practice. The Senior Business Consultant is also expected to supervise and train less experienced staff assigned to the project and successfully lead the engagement to completion. Work will be reviewed for adequacy and conformance with practice and policy in order to deliver high quality deliverables.
Key Responsibilities/Duties – what you will be doingBusiness Consulting & Transformation Service DeliveryParticipate in process improvement/redesign, reengineering, business assessments, and strategy initiatives.Employ critical thinking, effective data gathering & data analysis and problem solving skills to understand the situation.Lead and participate in developing a clear understanding of potentially complex situations and present that understanding through meaningful and useful business consulting deliverables. This includes documentation of processes, a functional decomposition, structured analysis, context diagramming, entity relationship modeling, and workflow mapping.Leverage market and competitive research including benchmarks in the analysis.Review metrics to identify process/system performance, areas for improvement and trends.Lead and participate in visualizing and effectively documenting future processes / performance metrics and propose recommendations/opportunities through meaningful and useful business consulting deliverables.Recommendations may include opportunities from a people, process and technology perspective.Proactively detects project risk/issues, identifies potential solutions and makes adjustments to the project plan accordingly.Incorporate current company strategy and defined processes and methods.Develop business case for the recommendations and determine ROI.Participate in developing next steps and a high level implementation roadmap.Must be able to lead medium business consulting engagements and may lead large engagements which can involve multiple business units.Proactively identify enhancements to current tools and methodologies that would allow the team to work more efficiently.Perform other activities as directed by department managementContinually expand understanding of impacts of technology, legislations and the competitive marketplace on health insurance/managed care.Other activities as assigned.Qualifications – what you need to perform the jobEDUCATION:Bachelor’s DegreeEXPERIENCE:5+ years of business process reengineering experience in a functional business area.Knowledge of and experience with Business Models (function process, entity relationship, etc.) and brainstorming tools (fishbone diagrams, cause and effect, etc.) and their appropriate application.Knowledge of and experience with business consulting tools and methods including business process reengineering.Basic understanding of IT strategy components.Basic understanding of health insurance/managed care industry & market.SKILL REQUIREMENTS:Must have prior work experience in a Management Consulting Company.Advanced application of business consulting skills, methods and deliverables.Strong analytical skills.Able to synthesize large amounts of information and tailor the message to staff and/or senior management.Employ Project Management techniques, tools and methods proficiently and consistently.Employ proficient negotiation and influencing skills by facilitating a project group without authority in order to effectively reach a positive outcome.Utilize well-developed verbal, written and facilitation skills to develop, create and effectively present senior level presentations, including executive summaries.Able to objectively work with highly confidential information.Consistently proactive / takes initiative.Able to assess assigned work, manage time and meet deadlines for self and overall project.Able to motivate fellow employees by fostering team spirit, an attitude of cooperation, trust and a commitment to the team and Organization including training and mentoring peers.Must be flexible and able to quickly adapt to a dynamic environment.Demonstrate advanced skills with Microsoft Office Suite including, but not limited to: Word, PPT, Visio, Excel, and Project.Able to identify potential opportunities for add-on or new consulting projects.WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment. May require limited travel between Tufts HP offices and offsite vendors. May require occasional evening or weekend hours as the needs of the organization dictate.CONFIDENTIAL DATA:
All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential.Compensation & Total Rewards OverviewAs part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:Medical, dental and vision coverageRetirement plansPaid time offEmployer-paid life and disability insurance with additional buy-up coverage optionsTuition programWell-being benefitsFull suite of benefits to support career development, individual & family health, and financial healthFor more details on our total rewards programs, visit
here .Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health EquityPoint32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation.
#J-18808-Ljbffr
Key Responsibilities/Duties – what you will be doingBusiness Consulting & Transformation Service DeliveryParticipate in process improvement/redesign, reengineering, business assessments, and strategy initiatives.Employ critical thinking, effective data gathering & data analysis and problem solving skills to understand the situation.Lead and participate in developing a clear understanding of potentially complex situations and present that understanding through meaningful and useful business consulting deliverables. This includes documentation of processes, a functional decomposition, structured analysis, context diagramming, entity relationship modeling, and workflow mapping.Leverage market and competitive research including benchmarks in the analysis.Review metrics to identify process/system performance, areas for improvement and trends.Lead and participate in visualizing and effectively documenting future processes / performance metrics and propose recommendations/opportunities through meaningful and useful business consulting deliverables.Recommendations may include opportunities from a people, process and technology perspective.Proactively detects project risk/issues, identifies potential solutions and makes adjustments to the project plan accordingly.Incorporate current company strategy and defined processes and methods.Develop business case for the recommendations and determine ROI.Participate in developing next steps and a high level implementation roadmap.Must be able to lead medium business consulting engagements and may lead large engagements which can involve multiple business units.Proactively identify enhancements to current tools and methodologies that would allow the team to work more efficiently.Perform other activities as directed by department managementContinually expand understanding of impacts of technology, legislations and the competitive marketplace on health insurance/managed care.Other activities as assigned.Qualifications – what you need to perform the jobEDUCATION:Bachelor’s DegreeEXPERIENCE:5+ years of business process reengineering experience in a functional business area.Knowledge of and experience with Business Models (function process, entity relationship, etc.) and brainstorming tools (fishbone diagrams, cause and effect, etc.) and their appropriate application.Knowledge of and experience with business consulting tools and methods including business process reengineering.Basic understanding of IT strategy components.Basic understanding of health insurance/managed care industry & market.SKILL REQUIREMENTS:Must have prior work experience in a Management Consulting Company.Advanced application of business consulting skills, methods and deliverables.Strong analytical skills.Able to synthesize large amounts of information and tailor the message to staff and/or senior management.Employ Project Management techniques, tools and methods proficiently and consistently.Employ proficient negotiation and influencing skills by facilitating a project group without authority in order to effectively reach a positive outcome.Utilize well-developed verbal, written and facilitation skills to develop, create and effectively present senior level presentations, including executive summaries.Able to objectively work with highly confidential information.Consistently proactive / takes initiative.Able to assess assigned work, manage time and meet deadlines for self and overall project.Able to motivate fellow employees by fostering team spirit, an attitude of cooperation, trust and a commitment to the team and Organization including training and mentoring peers.Must be flexible and able to quickly adapt to a dynamic environment.Demonstrate advanced skills with Microsoft Office Suite including, but not limited to: Word, PPT, Visio, Excel, and Project.Able to identify potential opportunities for add-on or new consulting projects.WORKING CONDITIONS AND ADDITIONAL REQUIREMENTS:Fast paced office environment. May require limited travel between Tufts HP offices and offsite vendors. May require occasional evening or weekend hours as the needs of the organization dictate.CONFIDENTIAL DATA:
All information (written, verbal, electronic, etc.) that an employee encounters while working at Tufts Health Plan is considered confidential.Compensation & Total Rewards OverviewAs part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Point32Health offers their Colleagues a competitive and comprehensive total rewards package which currently includes:Medical, dental and vision coverageRetirement plansPaid time offEmployer-paid life and disability insurance with additional buy-up coverage optionsTuition programWell-being benefitsFull suite of benefits to support career development, individual & family health, and financial healthFor more details on our total rewards programs, visit
here .Commitment to Diversity, Equity, Inclusion, Accessibility (DEIA) and Health EquityPoint32Health is committed to making diversity, equity, inclusion, accessibility and health equity part of everything we do—from product design to the workforce driving that innovation.
#J-18808-Ljbffr