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Healthcare Business Consultant-Remote at Remote, Remote, USA
Email: [email protected]
From:

Kowsalya.A,

IDC

[email protected]

Reply to:   [email protected]

Hello, 

Hope you are doing great.

We have an opening for the position of Healthcare Business Consultant-Remote Contract position for our clients, Kindly read the job description and let me know your interest.

    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:

    Government 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

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
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Sat Oct 07 01:32:00 UTC 2023

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