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Healthcare Business Consultant Remote at Remote, Remote, USA
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vdartinc

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Healthcare Business Consultant  Remote 

 New Role Details

Role Location/Client Location

(Please list City & State)

Chicago, IL

Remote profiles ok

(Yes/No; if hybrid work arrangement, i.e. 3 days/per week in office, please notate those details)

Remote is ok, might have to travel once in a while.

Role Duration

 6 months

Number of roles

 4

Job/Role Title

 Healthcare Business Consultant

Mandatory Skills

(List any must-have requirements/skills/certifications/experience for this role)

5 to 10 years of

experience working in a healthcare organization providers or payors

2+ years

of experience working in a management consulting organization (big 4 preferred)

5+ years of Healthcare experience in any of the following:

Gov

ernment Programs, PBM, Clinical Health Management, Core Administer Delivery, Program Management, Product Management, or Network Management

2+ years of experience in one or more of the following:

Operational business process improvement, business process analysis, benchmark analysis or workflow analysis

Ability to work on claims with different LOBs such as Commercial, Medicare, Medicaid etc

Good

understanding on the lifecycle of claims adjudication

Possess good exposure on the various claim functionalities such as Edits, COBs, claims adjustments, Episodes etc.

Exposure to Facets
claims adjudication is an advantage

Exposure to ITS claims and duals is an advantage

Client Interview required for selection

(Yes/No)

Yes

Provide a detailed Job Description (JD)

(Please share a detailed job description of the role. A single line JD is not sufficient.)

The Healthcare Business Consultant will be a part of HCLs Digital Consulting team and work on strategic engagements with various clients.

The candidate will use strong strategic and business acumen to work closely with clients in the Healthcare domain, thus a strong background in Healthcare combined with a good understanding of the various business functions is critical to this role.

Ability to conduct discovery workshops with clients to uncover problem areas

Extract insights from these workshops and meetings and build a business case

Able to articulate and present the business case to an executive audience

Define processes and suggest improvements along with the ability to conduct  root cause analysis and end-user training

Business requirements development, analysis, gap identification and work flows design

In addition the below skills would be good to have for this role:

Project Coordination / Management: documentation, meeting facilitation, project planning

Data Management: data analysis and financial analysis

Client relationship development and management

Business development and revenue growth

Defines and documents business and IT system processes. Models AS-IS and TO-BE processes. 

Analyze business workflow and system needs for conversions and migrations; assists in data mapping.

Reviews, analyzes, and evaluates business processes and associated IT application requirements.  

Prepares high level user documentation and training materials and provide trainings to project teams

Ability to work independently as well as organize and coordinate work with others 

Keywords: information technology Illinois
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Sat Oct 07 00:43:00 UTC 2023

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