Consultant I - Healthcare Business Process Consultant Core Admin & Technology Strategy

3 - 7 years

0 Lacs

Posted:1 month ago| Platform: Shine logo

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On-site

Job Type

Full Time

Job Description

The role requires you to provide cross-functional consulting on core admin platform strategy, implementation, and process optimization. You will be responsible for building business cases focused on cost savings, performance improvement, and reduction in Total Cost of Ownership (TCO). In addition, you will need to apply industry and geography-specific regulatory knowledge to inform decision-making and ensure compliance. Your role also involves delivering insights on market/industry trends, competitive product landscapes, and customer business domains. You will advise on COTS products and vendor selection strategies and guide implementation types such as upgrades, conversions, and migrations. Utilizing frameworks like BPM, Value Stream Mapping, and process harmonization, you will assess and improve business processes. Furthermore, you will lead requirement gathering and analysis efforts, creating artifacts such as blueprints, workflows, and functional specs. Supporting governance and maintaining quality through project management tools, estimation techniques, and metrics will also be part of your responsibilities. Collaboration with clients and internal stakeholders to structure solutions using UST offerings and domain-specific COTS tools is essential. Your role will also involve guiding the use of project governance frameworks, RACI matrix, and effective knowledge management practices. Understanding pricing/licensing models and contributing to developing proposals and delivery models are crucial aspects of the position. **Must-Have Skills:** - Proven experience in process consulting, BPM, and business transformation in a healthcare context. - Working knowledge of COTS healthcare products and their implementation life cycle (e.g., Facets, QNXT, HealthRules). - Expertise in requirement elicitation, process mapping, and documentation standards. - Familiarity with project management practices including scoping, risk management, estimation, and delivery metrics. - Strong communication and stakeholder management skills; ability to liaise between technical and business teams. - Understanding of industry regulations and compliance (HIPAA, NCQA, CMS). **Good-to-Have Skills:** - Exposure to competitive product landscapes and emerging technologies in healthcare platforms. - Knowledge of pricing/licensing models and advanced commercial models (e.g., outcome-based pricing). - Familiarity with tools such as Visio, MPP, JIRA, and knowledge management platforms (wikis, portals). - Experience working with consulting frameworks, vendor evaluation processes, and client engagements. - Background in estimation models like UCP, FP, and resource planning techniques. **Skills Required:** - Healthcare - Consulting - Business Process,

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