Brighton, Michigan
Senior IT Recruiter and Sales/Account Manager with 14+ years of IT Recruiting experience and 14 years of Sales and Account Management experience. Specializing in areas such as IBM (Websphere Portal, Application Server, Process Server, ESB, MB, DP...) Web, eCommerce, Analytics, Application Development and Architecture, Business Intelligence, Data Warehousing, ERP, Project and Program Management, and Testing.

Wednesday, April 22, 2009

Healthcare Business Consultant - permanent


  • Leads/Directs the ongoing business operations; overseeing 70 Team Members for the exchange of 300 Million electronic transactions connected to over 30,000 providers and 7,000 submitters.   
  • Oversees a wide variety of Corporate Projects related to the Electronic Business Interchange Area including requirements definition, internal and external testing as well as product deployment and conversions. 
  • Internal or External Customer service and relationship management related to Clearinghouse, Provider Portal, and Secured Web Services for Help Desk and analytical support.
  • Responsible for managing the budgets and producing revenues related to the Electronic Business Interchange Group.


Essential Duties and Responsibilities

·         Leads a centralized business unit with a diversity of functions that entail External Consulting, Help Desk Support, Business Analysts, Testing, Production Monitoring and Customer Registration services.

·         Working independently, responsible for strategic and day to day support for technology related initiatives for a business unit. 

·         Manages existing client relationships to make development of client's business systems more effective and efficient.

·         Builds quantitative and qualitative business case for each project and supports Conceptual Design and Business Requirement Definitions. 

·         Develops and promotes relationships with both client and project teams.

·         Serves as liaison with other Corporate Business Units, IT and External Constituents for Electronic Transaction Exchange.

·         Communicates changes which impact client or business including changes in staff, technology, policy, procedures, or practices. 

·         Responsible for the growth and expansion of Electronic Data Interchange and Provider Web Transactions.

·         Develops and manages multiple client relationships.

·         Manages client expectations at all levels of client organization and ensures client satisfaction. 

·         Has wide latitude in determining creative solutions to strategic and operational needs. 


Education and/or Experience

·         Bachelor’s Degree in related field required.  Master’s Degree in related field preferred.

·         Minimum eight (8) years related experience preferred.

  • Excellent analytical, organizational, verbal and written communication skills.

·         A high proficiency level in specific job related skills is required.

  • Other related skills and/or abilities may be required to perform this job.
  • In depth knowledge of Electronic Business Interchange as it pertains to the BCBSM Clearinghouse, Provider Portal (webDENIS), other secured web services, e-prescribing, and the internet claims submission tool.
  • Industry awareness and knowledge of trends in Health Information Exchange.
  • Demonstrated ability to grow and expand EDI Business.
  • Background/understanding of the technology environment and tools that support the exchange of electronic services.
  • Keen understanding of the HIPAA Compliance and Security Measures for EDI and Web Transactions including the Corporate Standard Bearer Role for the Organization. 
  • Strong External Relations skills related to the promotion and servicing of Electronic Services with all levels of external constituents/customers such as Providers, Associations, Groups, Software Vendors, BCBSA and other Blues Plans, etc.   
  • Vast business knowledge of a multitude of corporate areas including claims, provider, group, membership, BCN, Dentemax, FEP, and NASCO.
  • Highly effective and proficient at preparing and conducting external presentations to a wide variety of audiences.


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