Back to Jobs

Business Consultant -Cost of Care (Remote)

Remote, USA Full-time Posted 2025-11-09
Resp & Qualifications PURPOSE: The Business Consultant provides expertise in tailored, strategic, and critical work to help design, launch, and execute programs that support initiatives in the changing healthcare environment. The Business Consultant will support the Cost of Care team, lever owners and segment leadership to meet the annual cost savings targets. This position will be responsible for generating and manipulating data/reporting (claims, billing, utilization) for CoC insights and opportunities. Experience in utilizing healthcare data systems and data visualization tools will be a main part of this Business Consultants position as well as working with data & analytics teams within the organization. ESSENTIAL FUNCTIONS: Provide subject matter expertise in a particular area (including but not limited to one of the following: project management, finance and budget, human resources, data and metrics, information technology, etc.) that contributes to the effective accomplishment of initiatives tasks and goals. Collaborate on the business strategy, thesis, programs and the identification of strategic opportunities. Support cross-functional teams and projects between division, and others to deliver value to team. Proactively identify ways, means, and platforms to build synergy and mutually reinforcing workstreams to accomplish tasks more effectively across different business functions of initiatives. Design and run dashboards to support clear communication across across vertical components of business. Review and support task coordination while identifying potential process improvements. Develop and finalize budgets, policies, and other documentation for programs. • Build trusted relationships within CareFirst to deepen subject-matter expertise, find opportunities to synchronize with core operations, and ensure close coordination with the central team in the execution of their areas of responsibility within the division. Identifying opportunities for synergies to improve task execution across the organization. Working collaboratively with other support partners in our current and upcoming programs. Communicating strategy, programs, and next steps to leadership and our partners. QUALIFICATIONS: Education Level: Bachelor's Degree OR in lieu of a Bachelor's degree, an additional 4 years of relevant work experience is required in addition to the required work experience. Experience: 5 years experience in business development, operational technology support, general business operations and/or consulting experience. Knowledge, Skills and Abilities (KSAs) • Understands business goals and priorities. • Follows evolving market, industry and consumer trends. • Effective communication of complex ideas both verbal and written. • Exceptional project management, facilitation and organizational skills. • Excellent relationship management skills. • Strategic thinker, problem solver, and a collaborator who can drive engagement and discussions. • Significant experience with MS Office (Excel, PowerPoint, Word). Salary Range: $88,776 - $176,319 Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements). Department Cost of Care and Whitespace Equal Employment Opportunity CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information. Where To Apply Please visit our website to apply: www.carefirst.com/careers Federal Disc/Physical Demand Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs. PHYSICAL DEMANDS: The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted. Sponsorship in US Must be eligible to work in the U.S. without Sponsorship. #LI-NH2 Apply tot his job Apply To this Job

Similar Jobs

Remote Full-Time Customer Service Representative for blithequark - Delivering Exceptional Customer Experiences in a Dynamic and Supportive Environment

Remote, USA Full-time

Experienced Remote Customer Service Specialist – Delivering Exceptional Support and Building Strong Relationships with Clients at blithequark

Remote, USA Full-time

Salesforce administration and user support

Remote, USA Full-time

**Database Customer Engineer – Cloud Data Solutions Expert at blithequark**

Remote, USA Full-time

Experienced Junior Data Entry Specialist – Remote Opportunity for Detail-Oriented Individuals to Launch Their Career at blithequark

Remote, USA Full-time

**Experienced Remote Customer Service Specialist – Delivering Exceptional Experiences for blithequark Customers**

Remote, USA Full-time

Freelance Graphic Designer (Junior Level) (Remote)

Remote, USA Full-time

**Experienced Customer Experience Specialist – Part-time Remote Opportunity to Elevate Customer Engagement and Loyalty at blithequark**

Remote, USA Full-time

**Experienced Remote Sales Customer Representative – Driving Revenue Growth and Exceptional Customer Experience**

Remote, USA Full-time

**Experienced Customer Support & Onboarding Specialist – Guiding Users Through Seamless blithequark Experiences**

Remote, USA Full-time

Full time / Data Entry Assistant (Remote)

Remote, USA Full-time

Business Loan Coordinator I

Remote, USA Full-time

LPN- Remote! *Tennessee Only

Remote, USA Full-time

Licensed P&C Insurance Agent

Remote, USA Full-time

Independent Insurance Claims Adjuster in Gansevoort, New York

Remote, USA Full-time

Machine Learning Engineer Internship

Remote, USA Full-time

Manager Corporate Loss Reserve

Remote, USA Full-time

HCC Risk Adjustment Coder

Remote, USA Full-time

Concurrent Review Nurse RN

Remote, USA Full-time

Pricing Actuarial Analyst Mid

Remote, USA Full-time