HealthEdge

Compensation

Full Description

Overview JOB TITLE: Business Consultant JOB LOCATION: REMOTE EMPLOYMENT IS AVAILABLE FOR THIS POSITION. POSITION REPORTS TO BOSTON, MA OFFICE. REQUIRED TRAVEL: None REPORTS TO: Manager of Business Services Consulting HOURS: Full-time PAY RANGE: $135,000 - $150,000 per year POSITION SUMMARY: The Business Consultant is a valued part of HealthEdge’s Global Professional Services team, supporting customer-funded service delivery initiatives separate from standard SaaS license support activities, such as customer implementations, business expansion, and optimization initiatives. The Business Consultant will support the assessment of client’s business requirements, based on the value stream, Plan Management, Provider Management, Member Management, Claims Management, Customer Service, and User Security. The Business Consultant will coordinate activities with clients and assist clients. REQUIRED DUTIES: Drive successful implementation and optimization of healthcare claims software solutions for clients. Apply extensive understanding of healthcare claims processes, project organization skills, and relationship management skills. Deliver mid- to complex software projects, accurately forecasting and scheduling business deliverables to meet project timelines. Support end-to-end healthcare claims software implementation projects, within assigned Value Stream, ensuring alignment with client objectives and timelines. Collaborate with other team members within assigned Value Stream. Engage with clients and collaborate with clients to understand their needs and support the design of tailored software solutions that meet business requirements within assigned Value Stream, including handling configuration of HealthRules Payer and related solutions. Identify potential project risks through proactive monitoring and develop mitigation strategies to ensure project success. Identify functional gaps within HealthRules Payer suite. Ensure quality assurance and compliance of mid- to complex healthcare claims software project deliverables. Stay current with healthcare industry trends and best practices, continuously seeking opportunities to improve HealthEdge’s implementation processes. EXPERIENCE AND EDUCATION REQUIREMENTS: Bachelor’s degree in Computer Science, Information Technology, or HealthCare Administration, or a closely related field (foreign equivalent is acceptable) plus 5 years of employment experience in healthcare services industry. Employment experience must include: A minimum of 5 years of demonstrated employment experience in business analysis and process improvement in healthcare. A minimum of 5 years of demonstrated employment experience working with healthcare plans, claims, and benefits administration. A minimum of 5 years of demonstrated employment experience guiding customers and facilitating resolution of customer issues. A minimum of 3 years of demonstrated employment experience in system configuration, design, development, maintenance, application support, enhancement, and implementation of healthcare applications. A minimum of 3 years of demonstrated employment experience using SQL query in Oracle to generate data reports for analysis and quality improvement. A minimum of 3 years of demonstrated hands-on employment experience with HRP or equivalent core system experience. A minimum of 3 years of demonstrated employment experience in project management and supporting project deliverables. HealthEdge® provides modern, disruptive technology that delivers for the first time, a suite of products that enables healthcare payors to leverage new business models, improve outcomes, drastically reduce administrative costs and connect everyone in the healthcare delivery cycle. Our next-generation enterprise product suite, HealthRules®, is built on modern, patented technology and is delivered to customers via the HealthEdge Cloud or on-site deployment. An award-winning company, HealthEdge empowers payors to capitalize on the innovations, challenges and opportunities that await in the new healthcare economy. For more information, visit http://www.healthedge.com. HealthEdge is an Equal Opportunity Employment/Affirmative Action Employer. Applicants are considered for all positions without regard to race, color, religion, sex, national origin, age, veteran status, disability, sexual orientation, or any other characteristics protected by law.