Impact Advisors, LLC 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.

Health Plan Managing Consultant

ComplianceComplianceFull TimeRemoteTeam 501-1,000

Location

United States

Posted

13 days ago

Salary

$130K - $170K / year

No structured requirement data.

Job Description

As a Strategy & Operations Managing Consultant you 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 by configuring, analyzing, and troubleshooting Epic Tapestry, FACETS and other core operating systems, ensuring seamless integration across downstream workflows, maintaining data integrity, and driving process improvements that enhance accuracy, efficiency, and overall system performance. You will have ownership of all deliverables within an engagement and serve as the primary day-to-day contact with clients. Leadership and the ability to be a player/coach are critical characteristics of being successful in this role. You’ll be supporting and leading initiative teams in driving improvements for our clients. As a manager, you’ll be an example of our strong company culture and have a hand in developing our innovative and quickly expanding team.

About Impact Advisors:

Impact Advisors is a nationally recognized healthcare consulting firm dedicated to improving healthcare through process improvement and technology. As a trusted healthcare leader, we help clients optimize clinical and operational performance through our Best in KLAS® advisory and implementation services. Our goal is to provide innovative solutions to the industry’s toughest challenges.

About You:

· Must have a broad understanding of the three market segments including Individual/Family (Retail), Commercial and Government sponsored (Medicare & Medicaid)

· Must have broad understanding of key business functions within a health plan including network configuration, claims adjudication, benefit design and an awareness of ancillary products specifically how they interact with the core product.

· Experienced consultant leader focused on developing strategies to solve complex operational problems for our 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 to facilitate planning and implementation processes · Familiarity with data integration tools, SQL queries, and interface troubleshooting to support claim data flow and issue resolution.

· Structuring engagement activities, delegating effectively, and coaching junior staff. Serve as the final reviewer for deliverables with a thoughtful, diligent, and critical eye. Lead client calls regularly, delegating speaking parts as appropriate.

· 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

Our People and Culture:

We believe in a caring, fun, honest and autonomous work environment and we recognize that our dedication to our associates drives our success. Our mission to create a Positive Impact fuels our associates to innovate and deliver high value services to our clients.

At Impact Advisors, we prioritize transparency and equity in our compensation practices. This role has a salary range of $130,000 to $ 170,000 and may also be eligible for an annual discretionary bonus. This range accounts for various factors, including skills, experience, training, certifications, and organizational needs

For salaried positions, this role may also be eligible for an annual performance bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of several factors, including skills, experience, training, certifications, and organizational needs.

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.

Join Impact Advisors and make a real difference in healthcare.

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