Senior Consultant - Provider

Job ID: J121375
Company: HM Health Solutions Inc.
Location: Philadelphia, PA, United States
Full/Part Time: Full time
Job Type: Regular
Posted at: May 8, 2018

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Description

JOB SUMMARY

The consulting workforce leverages  combined people, process, and technology competencies  to support large-scale, complex customer engagements; collaborates with Product, Infrastructure, and Security teams to configure solutions and deliver value to customers; acts as subject matter expert and trusted advisor in both practice and customer spaces; and works closely with engagement and practice leadership team to define strategic and tactical direction.

HMHS is looking for a candidate to fill the position of Provider Office Lead on the Philadelphia client account  team.   The candidate must have exceptional communication, program /  project portfolio management, and consulting skills as described in the job description.    The role will be accountable for operating performance and client satisfaction within the Provider domain.    The candidate also must have background with health care provider activities such as utilization management,  credentialing,  pricing and reimbursement.     The position will be actively engaged in leading IT development projects and steady state support as well as development of solutions in the provider space.   

The Senior Consultant delivers value to customers through client-facing advisory and delivery service in support of the HM Health Solutions product offerings. Accountabilities include, but are not limited to, owning deliverable artifacts, leading workstreams, engaging key customer stakeholders, building and sharing institutional knowledge, and developing junior professionals.

ESSENTIAL RESPONSIBILITIES

  • Contribute to the delivery and execution of complex, large scale, multi-year (high cost, high complexity and/or high risk) client enterprise transformation programs by: gathering required data through direct observation and/or inquiry and synthesizing data into meaningful observation; analyzing, identifying and problem solving from information sets (issues could be business or systems issues) drawing conclusions from information sets based on analysis, creating hypotheses and presenting recommendations to team; developing client specific requirements, standard operating procedures, functional roles & responsibilities, process flow and userguides.
  • Build, share, and maintain expertise in both practice area and client environment, regularly interface with Product, Infrastructure, and Security teams to deliver on customer commitments.
  • Contribute to operational readiness, organizational change management, solution capability, packaging, and estimating, planning and delivery management.
  • Design and own deliverable artifacts to deliver client value and meet contractual obligations.
  • Lead engagement workstreams  to meet milestones on time, and to deliver with high quality and within agreed to budgets.
  • Provide coaching, mentorship, and professional development for junior resources.
  • Other duties as assigned or requested.

REQUIRED EDUCATION

Bachelor's Degree- Business Administration, Management Information Science, Health Administration, or relevant field

PREFERRED EDUCATION

Business Administration, Management Information Science, Health Administration, or relevant field

EXPERIENCE

Minimum:

  • 5+ years' consulting and/or industry experience

Preferred:

  • 3+ years' healthcare/insurance industry experience
  • 3+ years' technology platform delivery experience
  • 3+ years' program / project management experience
  • Experience engaging, influencing, and advising senior executive leaders
  • Experience working in complex matrixed environments

KNOWLEDGE, SKILLS & ABILITIES

  • Customer focus, results orientation, strategic thinking, change advocate, continuous improvement, talent development
  • Excellent written and spoken communications skills
  • Strong leadership and interpersonal skills
  • Ability to work independently and manage multiple task assignments
  • Proficient in the use of MS Word, Excel, and PowerPoint
  • Proven ability to build and sustain internal and customer relationships

PREFERRED LICENSURE

Project Management Professional, Information Technology Infrastructure Library

TRAVEL REQUIREMENT:  - Local to Philadelphia Market up to 25% travel

Internal candidates traveling to site up to 80%

Referral Level Payout 4

Note: Job duties and responsibilities support separation of duties across multiple users.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities, and prohibit discrimination against all individuals based on their race, color, religion, sex, national origin, sexual orientation/gender identity or any other category protected by applicable federal, state or local law. Highmark Health and its affiliates take affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, national origin, sexual orientation/gender identity, protected veteran status or disability.
EEO is The Law
Equal Opportunity Employer Minorities/Women/ProtectedVeterans/Disabled/Sexual Orientation/Gender Identity (http://www1.eeoc.gov/employers/upload/eeoc_self_print_poster.pdf)
We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact number below.
For accommodation requests, please call HR Services at 844-242-HR4U or visit HR Services Online at HRServices@highmarkhealth.org

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