Healthcare Consulting Role - Consulting Firm - IIM/ISB/MDI/FMS (7-12 yrs)

Healthcare Consulting role for top notch consulting firm with Tier 1 MBA

- MBA from Tier-1 B-Schools OR a postgraduate degree with rich experience of working in US healthcare consulting domain and/or payer/provider front office roles will be a good fit as well

- 7-12 years of relevant experience

- End-to-end understanding of payer/provider value chain with an in-depth understanding of front office functions

- Prior experience of working with US healthcare companies preferable or must have worked across engagements with US healthcare clients

- Exposure to Data Strategy and GenAI for Health Use Cases

Should have project experience in working around (any 3-5):

- Payer Sales Operations (Quote to Card)

- Payer Sales Strategy and Marketing

- Health Insurance Product Design / Benefit Design

- CPQ (Configure-Pricing-Quoting) processes

- Health Insurance Exchanges

- Stakeholder experience design - Broker/Member/Patient/Provider portals

- Digital Front Door - Members/Patients

- Patient Access and Experience

- CRM Processes and Platforms

- Contact Centers / A&G / Member Retention and Loyalty

- Capability/Process experience in Salesforce, Highroads, Stepwise, Simplify products would be an added advantage

- Consulting knowledge of Analytics/AI/IoT in Customer Experience area would be a plus

- End-to-end understanding of payer and/or provider functional value chain components with focus on cost reduction or transformation engagements

- Prior experience of working with US healthcare companies preferable or must have worked across engagements with US healthcare clients

Should have project experience in working around (any 3-5):

- Claims Adjudication & Reimbursement

- Clinical domain data models, system integration assessments and implementation planning

- Analyzing business requirements and designing new EMR/Other platform workflows / interfaces / reporting capabilities

- Current state system assessment (capabilities and workflows) and future state design

- Use cases identification, quantification, and prioritization

- Working exposure to at least one of the leading EMR systems: Epic, Cerner, Meditech, Athena, etc. (preferably CERNER EMR)

- Migration to cloud - Business case development, migration planning and program management

- Concept to execution strategy of enterprise platform solutions

- Well versed with clinical standards to aid discussions with clinical leadership around implementing an engagement strategy.

- Knowledge of power chart solutions to respective users - Nurse, physician, laboratory, pharmacy.

- Any of the Products / Platforms - Facets, HealthEdge, RxClaims, OHI, ORMB, EMR ( Cerner/EPIC/All Scripts) experience

- Regulatory Compliance - STARS, HEDIS measures