Job Overview
Location
Work From Home (HB)
Job Type
Full-time
Category
Operations
Date Posted
July 16, 2026
Full Job Description
đź“‹ Description
- • At Luminare Health, our people are what set us apart. Their expertise, dedication, and passion for service excellence are the foundation of our success.
- • We're committed to helping our employees grow through thoughtful development opportunities, meaningful work, and a culture that values collaboration and continuous improvement.
- • When you join Luminare Health, you join a purpose-driven team focused on making healthcare simpler, better, and more affordable.
- • The Business Application Owner serves as the strategic and operational leader for one or more core business applications that support claims administration, eligibility management, provider operations, customer service, and related TPA functions.
- • This role ensures that applications are stable, compliant, well integrated, and continuously optimized to meet evolving business, regulatory, and client needs.
- • The Business Application Owner acts as the primary liaison between business stakeholders, IT teams, vendors, and implementation partners.
- • Define the long-term roadmap for assigned applications, ensuring alignment with organizational goals, client requirements, and regulatory obligations.
- • Maintain deep functional knowledge of application capabilities, configuration options, and integration points across the ecosystem.
- • Prioritize enhancements, defect fixes, and upgrades based on business value, risk, and operational impact.
- • Oversee day-to-day application performance, ensuring availability, accuracy, and timely processing of critical workflows.
- • Monitor system KPIs and proactively identify opportunities to improve efficiency, reduce manual work, and strengthen data quality.
- • Coordinate incident response, root-cause analysis, and corrective actions with IT and vendor teams.
- • Serve as the primary point of contact for business users, gathering requirements, clarifying needs, and translating them into actionable technical specifications.
- • Manage relationships with software vendors, third-party partners, and implementation consultants.
- • Ensure service-level agreements (SLAs) are met and escalate issues when necessary.
- • For functionality changes, develop business cases, project plans, testing strategies, and training materials.
- • Facilitate user acceptance testing (UAT) and ensure successful deployment of new features or releases.
- • Provide subject-matter expertise to internal teams including claims, customer service, enrollment, provider relations, and analytics.
- • Develop and maintain documentation, training guides, and knowledge resources.
- • Support onboarding of new users and promote best practices across the organization.
🎯 Requirements
- • Bachelor’s degree in Business, Information Systems, Healthcare Administration, or related field.
- • 5+ years of experience in the health insurance, TPA, or healthcare technology industry.
- • Strong understanding of claims administration systems, EDI transactions (e.g., 834, 837, 835), and healthcare data standards.
- • Demonstrated experience managing business applications or leading system-related initiatives.
- • Excellent communication, analytical, and problem-solving skills.
🏖️ Benefits
- • Health and wellness benefits.
- • 401(k) savings plan.
- • Pension plan.
- • Paid time off.
- • Paid parental leave.
- • Disability insurance.
- • Supplemental life insurance.
- • Employee assistance program.
- • Paid holidays.
- • Tuition reimbursement.
- • Other incentives.
Skills & Technologies
See exactly how your profile matches this role — strengths, skill gaps, and what to do about them.
About Health Care Service Corporation
Health Care Service Corporation is the largest customer-owned health insurer in the United States, operating Blue Cross and Blue Shield plans in Illinois, Montana, New Mexico, Oklahoma, and Texas. It provides medical, dental, vision, life, and disability coverage to nearly 17 million members through individual, employer, and government programs. The company emphasizes community health investments, digital services, and value-based care initiatives. Founded in 1936 and headquartered in Chicago, HCSC is licensed as a mutual legal reserve company and governed by its policyholders.
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