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Role Description

As a Strategy & Operations Managing Consultant, you will continue to grow your healthcare career in a collaborative, supportive, and inclusive environment. You’ll be a vital leader on a team that is passionate about improving healthcare.

As the Health Plan Operations Managing Consultant, you must possess deep healthcare expertise in the health plan domain. In this role, you will:

• Work closely with healthcare clients to optimize and support their claims processing operations.
• Configure, analyze, and troubleshoot Epic Tapestry, FACETS, and other core operating systems.
• Ensure seamless integration across downstream workflows and maintain data integrity.
• Drive process improvements that enhance accuracy, efficiency, and overall system performance.
• Have ownership of all deliverables within an engagement and serve as the primary day-to-day contact with clients.
• Support and lead initiative teams in driving improvements for clients.
• Be an example of the company culture and help develop the innovative and quickly expanding team.

Qualifications

• Must have a broad understanding of the three market segments including Individual/Family (Retail), Commercial, and Government sponsored (Medicare & Medicaid).
• Must have a broad understanding of key business functions within a health plan including network configuration, claims adjudication, benefit design, and awareness of ancillary products.
• Experienced consultant leader focused on developing strategies to solve complex operational problems for healthcare clients.
• 3–5 years of experience working with Epic Tapestry and/or FACETS in a healthcare payer or provider environment.
• Strong understanding of claims processing workflows, including adjudication, pricing, and downstream system integration.
• Proven experience in technical analysis, system configuration, and troubleshooting of claims or related healthcare applications.
• Proven experience developing business requirements liaising with technical architects and developers.
• Familiarity with data integration tools, SQL queries, and interface troubleshooting to support claim data flow and issue resolution.
• Ability to structure engagement activities, delegate effectively, and coach junior staff.
• Strategy development experience is strongly preferred.
• Able to manage competing priorities with a high level of organization and attention to detail.
• Have a growth mindset and are prepared to expand and develop your talents with this rapidly growing team.
• Hold a Bachelor’s degree; an advanced degree is preferred but not required (MBA, MHA, MPH).
• Able to travel according to client needs up to 80% of the time.
• Authorized to work in the US.

Benefits

• Salary range of $130,000 to $170,000.
• Eligibility for an annual discretionary bonus.
• Potential for an annual performance bonus for salaried positions.
• Additional benefits and perks may be available, depending on the position and employment terms.

Company Description

Impact Advisors is a nationally recognized healthcare management consulting firm delivering Best in KLAS advisory, implementation, and optimization services. We are driven by a commitment to exceed client expectations and are proud to be a trusted partner to many of the nation's leading healthcare organizations.

Our mission to drive patient-centered, value-driven outcomes has earned us prestigious industry accolades.

Our People and Culture

At Impact Advisors, we cultivate a caring, fun, honest, and autonomous work environment. Our success stems from our associates' dedication and a shared mission to create a “Positive Impact.” We embrace diversity and inclusion, fostering an environment where all employees feel valued and empowered.