Job Summary
We are seeking a highly skilled Sr. Consultant with 8 to 10 years of experience in the Payer domain for a hybrid work model. The ideal candidate will bring deep expertise in healthcare payer systems driving impactful solutions that enhance operational efficiency and customer satisfaction. This role requires a proactive individual who can work collaboratively in a dynamic environment ensuring the successful delivery of projects within the stipulated timelines.
Responsibilities
Lead the analysis and design of payer systems to ensure they meet business requirements and industry standards.Oversee the implementation of solutions that improve operational efficiency and customer satisfaction.Provide expert guidance on payer domain best practices and emerging trends.Collaborate with cross-functional teams to deliver high-quality solutions on time and within budget.Conduct thorough assessments of existing systems and processes to identify areas for improvement.Develop detailed project plans including timelines milestones and resource allocation.Ensure compliance with regulatory requirements and industry standards in all project deliverables.Facilitate workshops and training sessions to enhance team knowledge and skills in the payer domain.Monitor project progress and provide regular updates to stakeholders.Address and resolve any issues or challenges that arise during the project lifecycle.Utilize data analytics to drive decision-making and optimize payer operations.Engage with clients to understand their needs and tailor solutions accordingly.Contribute to the development of proposals and presentations for new business opportunities.
Qualifications
Possess a deep understanding of healthcare payer systems and processes.Demonstrate strong analytical and problem-solving skills.Exhibit excellent communication and interpersonal skills.Have a proven track record of successfully managing complex projects.Show proficiency in data analytics and reporting tools.Display the ability to work effectively in a hybrid work model.Hold a relevant certification such as Certified Healthcare Payer Professional (CHP).