Healthcare Consulting Manager

3 weeks 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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