Healthcare Consulting Manager

2 months ago

Taguig, Philippines Neksjob Philippines Full time

Healthcare Consulting Manager

Qualifications
Your experience counts
Bachelor’s or master’s degree with at least 2 years of experience working in US healthcare, Global healthcare industry or health product organizations
Basic understanding of healthcare payer and provider value chains with exposure to
Medium to large business/technology transformation programs (program management / architecture)
Business process analysis and improvement (through design and implementation)
Ability to work and coordinate with internal and external stakeholders/clients
Should be flexible to support during US work hour
Should have project experience in at least one of the following Health industry areas:
Health Administration: Claims and reimbursement, membership management, enrollment, benefits administration, billing systems, provider & network management, core admin systems modernization
Care Innovation: Clinical process redesign, digital health products, prior authorization
Health Engagement: Member and provider portals, broker portals, health sales and marketing platforms, member experience, underwriting systems
Products / Platforms: Facets, QNXT, HealthEdge, RxClaims, Salesforce, MS Dynamics, EMR (Epic, Cerner)
Exposure to healthcare data sets, data analysis and visualization tools and techniques
Health data interoperability – HL7 / FHIR
Additional Skills for Business Analyst Role:
Experience in roles like Business Analysis, System Analysis, Process and Data Analysis
Process Redesign – Current state assessment, future state design, root cause analysis, process gap assessment and improvement opportunities identification
Should have worked on building Business Requirement Documents (BRD), Functional Requirement Documents (FRD), User Acceptance Testing (UAT), Functional Testing, Process Mapping/Documentation
Good to have: Certifications or academic qualifications related to IT, process improvement and healthcare systems
Additional Skills for Project Management (Project Manager and/or PMO) Role:
Experience in at least one engagement in areas like Project Management, Delivery Management, Risk and Issue Management, Defects Management, Integrated Program Planning
Strong coordination skills across business, product, technology, and delivery teams
Hands-on experience in delivering technology-driven business transformation projects using agile practices such as Scrum, Kanban, SAFe, etc.
Experience in agile related tools like JIRA Confluence/Rally/MS Projects/VersionOne, etc.
Experience in creating and managing project delivery schedules, milestones, work plans, effort estimates, delivery quality
Should have worked on creating and maintaining project status trackers, change log, issue and risk log, status updates / executive updates
Knowledge of project financials management, advanced MS Excel functionalities and project performance reporting/dashboards
Awareness of change life cycle and change management concepts
Good to have: Certifications related to project management (ITIL, MSP, PMP, Prince2, etc.)

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