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Manager – Healthcare Consulting (HealthEdge & Core Admin Transformation) - Chennai

10 years

0 Lacs

Chennai Tamil Nadu India

Posted:2 weeks ago| Platform: Linkedin logo

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Skills Required

healthcare consulting drive model design management technology strategies billing engagement communication documentation presentation certifications agile scrum epic evaluation support development writing

Work Mode

On-site

Job Type

Full Time

Job Description

ready to join immediately

CCTC | ECTC | Notice Period | Location Preference

nitin.patil@ust.com

  • Act fast for immediate attention! ⏳📩

Roles & Responsibilities:

  • Lead and manage HealthEdge Core Admin implementation projects for healthcare payers.
  • Identify and drive strategic value creation opportunities across operations and financial functions.
  • Provide consulting advisory services in operating model design, performance improvement, change management, and technology enablement.
  • Serve as a trusted advisor to clients, guiding them through transformation with insights into payer business and IT ecosystems.
  • Lead the creation of project plans, manage budgets, timelines, and resource allocations.
  • Collaborate with internal sales and delivery teams to define go-to-market strategies and win new business.
  • Build client relationships with decision-makers in Medicare, Medicaid, and Commercial LOBs.
  • Mentor junior consultants and contribute to knowledge sharing, tools, and methodology development.
  • Track and share regulatory trends and core admin best practices with clients and internal teams.

Must-Have Skills:

  • 10+ years in healthcare domain consulting, preferably payer space.
  • Hands-on experience with HealthEdge HealthRules Payor platform.
  • Expertise in Core Admin processes: claims, billing, collections, patient access, health information management.
  • Strong program/project management skills for large-scale healthcare transformations.
  • Experience in stakeholder engagement and client advisory at CXO level.
  • Familiarity with sales tools like PitchBook, Moody’s, Definitive Healthcare, S&P.
  • Excellent communication, documentation, and presentation skills.

Good-to-Have Skills:

  • Understanding of Medicare, Medicaid, and Commercial regulations.
  • Prior experience working with large healthcare payers or health systems.
  • Certifications in PMP, Agile/Scrum, or Prosci Change Management.
  • Familiarity with other payer platforms (Facets, QNXT, Epic Tapestry, etc.).
  • Experience in vendor evaluation and management.
  • Ability to support business development, proposal writing, and collateral preparation.


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