Genzeon ยท 4 hours ago
Healthcare Payer Automation Consultant
United States
Part-time
Remote
Senior Level, Lead/Staff
10+ years exp
Maximize your interview chancesInformation TechnologyRobotics
Hiring Manager
Anil Kumar Padhy
Insider Connection @Genzeon
Get 3x more responses when you reach out via email instead of LinkedIn.
Responsibilities
Strategic assessment of clients' current payer operations and automation maturity
Development of automation strategy and roadmap tailored to client needs
Advisory services for HEDIS reporting optimization and STAR ratings improvement
Process reengineering recommendations for Prior Authorization workflows
ROI analysis and business case development for automation initiatives
Best practices guidance for healthcare quality metrics and reporting
Change management and stakeholder alignment support
Automation opportunity assessments and gap analysis reports
Strategic roadmaps and implementation plans
ROI and business case documentation
Process optimization recommendations
Technology solution evaluations
Best practices documentation and training materials
Performance benchmark reports and industry insights
Change management and communication plans
Qualification
Find out how your skills align with this job's requirements. If anything seems off, you can easily click on the tags to select or unselect skills to reflect your actual expertise.
Required
Bachelor's degree in Healthcare Administration, Information Technology, or related field.
10+ years of experience in healthcare payer operations.
10+ years of consulting experience in healthcare process automation.
Deep understanding of HEDIS measures, STAR ratings, and quality improvement programs.
Deep understanding of Prior Authorization processes (both clinical and non-Clinical processes).
Proven track record of successful automation advisory projects.
Strong knowledge of healthcare industry metrics and benchmarks.
Experience in strategic planning and roadmap development.
Preferred
Master's degree in Healthcare Administration or related field.
HEDIS Compliance Certification.
Healthcare-specific consulting experience with top-tier consulting firms.
Experience with major RPA platforms and automation technologies.
Knowledge of healthcare regulatory requirements and compliance.
Six Sigma or PMP certification.
Company
Genzeon
Genzeon advances highly effective, secure, and innovative technology solutions for healthcare and retail clients, including intelligent automation, security, compliance, and cloud services.
501-1,000 employees
Funding
Current Stage
Late StageLeadership Team
Vikram Pendli
Chief Technology Officer
Company data provided by crunchbase
