Consultant II - National EDI Bus Ops Membership

Consultant II - National EDI Bus Ops Membership

The National EDI Business Operations (NEBO) membership team supports open enrollment as the primary contact for employer group and Third Party Administrator-s end-to-end electronic enrollment and premium file onboarding and testing coordination for all markets and lines of businesses. Serves as part of a consultant team with expertise in ASC X12 files and business operations to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful file implementations, business initiatives, and projects.

Manages EDI projects or project components for membership transactions, participates in change management activities, and performs data analyses in support of business initiatives.

Job Summary:

Serves as part of a consultant team under the guidance of more senior team members to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state. Supports strategic planning and organizational alignment and prioritization of business initiatives.

Manages projects or project components under the guidance of team members, participates in change management activities, and performs data analyses in support of business initiatives. Supports compliance of work activities by adhering to relevant policies and procedures.

Essential Responsibilities:

• Pursues effective relationships with others by sharing resources, information, and knowledge with coworkers and members. Listens to, addresses, and seeks performance feedback. Pursues self-development; acknowledges strengths and weaknesses based on career goals and takes appropriate development action to leverage / improve them. Adapts to and learns from change, challenges, and feedback; demonstrates flexibility in approaches to work. Assesses and responds to the needs of others to support a business outcome.
• Completes work assignments by applying up-to-date knowledge in subject area to meet deadlines; follows procedures and policies, and applies data and resources to support projects or initiatives with limited guidance and/or sponsorship. Collaborates with others to solve business problems; escalates issues or risks as appropriate; communicates progress and information. Supports the completion of priorities, deadlines, and expectations. Identifies and speaks up for ways to address improvement opportunities.
• Serves as part of a consultant team under the guidance of more senior team members to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects within a functional track or workstream by identifying and ensuring representation and inclusion of appropriate stakeholders; building rapport and partnerships with stakeholder teams, third party vendors, and senior management;
  
  working with stakeholders to develop goals and set the prioritization of deliverables; identifying and escalating tough stakeholder issues while maintaining an independent perspective; and preparing presentations and reports.
• Develops requirements for business, process, or system solutions within assigned business domain(s) by working with stakeholders and cross‑functional teams as appropriate; leveraging business requirements gathering methodologies to identify business, functional, and non‑functional requirements; and assisting in the development and documentation of business cases to assess the costs, benefits, and ROI of proposed solutions.
• Provides insight and supports the development and implementation of business initiatives, systems, and/or processes to a desired future state by maintaining a working understanding of how current processes impact business operations; mapping current state against future state processes; identifying the operational impact of requirements on upstream and downstream solution components; and identifying and validating value gaps and opportunities for process…