Senior healthcare business consultant / business architect - / contract Job at Cyber Sphere LLC, Minneapolis, MN

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  • Cyber Sphere LLC
  • Minneapolis, MN

Job Description

Job title: Senior Healthcare Business Consultant / Business Architect - Locals only

Work Location: Minneapolis, MN. Candidate should be prepared to work onsite for the first 2-3 months, with potential for hybrid or remote work based on business conditions.

Fulltime

Job Description

seeking a highly experienced Senior Business Consultant / Architect with about 15-years in the US healthcare industry.

Extensive Healthcare Experience: Seeking a candidate with approximately 15 years in the U.S. healthcare industry, encompassing payer systems, provider systems, and healthcare technology.

Telehealth Expertise: Proficient in developing virtual healthcare solutions, specifically in primary care, urgent care, mental health, and virtual therapies.

Virtual Healthcare Application Development: Experience in modernizing and enhancing virtual healthcare applications to improve patient experience and operational efficiency.

Omnichannel Experience Development: Skilled in creating omnichannel experiences using web, mobile, chat, social media, and email platforms.

EHR/EMR and RCM Proficiency: Strong background in Electronic Health Records (EHR)/Electronic Medical Records (EMR) systems and Revenue Cycle Management (RCM), focusing on delivering measurable business outcomes.

Payer Operations Knowledge: Deep understanding of at least four functional areas within payer operations, such as claims processing, enrolment, billing, provider network management, clinical management, care management, authorizations, and referrals.

Technical Implementation Insight: Ability to assess the feasibility of technical implementations and negotiate requirements with customer stakeholders.

Business Outcome Focus: Adept at focusing on business outcomes and key performance indicators (KPIs), transforming problem statements into valuable business solutions.

RFP Response Expertise: Experienced in responding to customer RFPs with solutions that meet client requirements and drive value.

Negotiation Skills: Proven ability to negotiate effectively, handle challenging customer situations, and maintain positive client relationships.

Data Analytics Programs: Expertise in designing and executing data analytics programs for actionable insights; knowledge of Value-Based Care analytics and Population Health Management.

Healthcare Technology Proficiency: Familiar with at least one core administrative platform within U.S. payer systems (e.g., Facets, NASCO, Health Edge, MMIS).

Salesforce and Oracle Implementation: Experience in implementing healthcare industry solutions using Salesforce and Oracle healthcare products.

AI and Cloud Technologies: Familiarity with AI and generative AI technologies to develop AI-based healthcare use cases; knowledge of cloud-based data analytics platforms like Snowflake or DataBricks.

EHR/EMR Integration Experience: Experience with leading EHR/EMR platforms and integrating them within healthcare IT ecosystems.

Communication and Leadership Skills: Exceptional ability to communicate complex concepts to diverse stakeholders; strong leadership in mentoring teams and fostering collaboration.

Analytical and Strategic Thinking: Excellent analytical skills with the ability to quantify business outcomes and develop strategic solutions.

Adaptability and Innovation: Proactive in staying updated with industry trends and emerging technologies; demonstrates flexibility and willingness to travel as required.

Educational Qualifications:

Bachelor s degree in healthcare administration, Business, Computer Science, or related field;

MBA preferred.

Certifications:

F-AHM or P-AHM certified in U.S. Healthcare; preferred certifications in at least two areas such as AI technologies, Snowflake, Salesforce, Oracle Healthcare products, or Data Analytics.

Regards,

Vinay Ram

(Direct)

Desk:

Suwanee, GA - 30024

An MBE & eVerify Company

Connect with me for exciting career opportunities:

Open Jobs (For Recruiters):

Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.

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  • Dice Id: 91081414
  • Position Id: 8430301

Job Tags

Full time, Contract work, Local area,

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