Client Solutions Strategist- Evernorth- Remote
About The Position
The Client Solutions Strategist provides strategic leadership, operational expertise, and consulting services to healthcare organizations specializing in home infusion, ambulatory infusion, and specialty pharmacy services. The role advises clients on revenue cycle management, business office operations, reimbursement strategy, financial performance, and operational optimization. Responsibilities include conducting revenue cycle assessments, financial modeling, payer contract evaluations, workflow redesign, and developing sustainable operational improvements. The strategist partners with client leadership and cross-functional teams to identify opportunities, mitigate operational and financial risks, improve performance, and support organizational growth. The role provides guidance for technology implementations and optimization, including Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, and other infusion management platforms. It also contributes to advisory strategy, business development, and industry thought leadership. This position is remote. Applicants working from home must use cable broadband or fiber service providing at least 10 Mbps download and 5 Mbps upload.
Requirements
- Minimum of 4 years of healthcare revenue cycle management experience, including 2 years in home infusion, ambulatory infusion, specialty pharmacy, or Durable/Home Medical Equipment (DME/HME).
- Strong understanding of reimbursement, preferably infusion, payer requirements, billing operations, denial management, and accounts receivable.
- Experience evaluating operational workflows, analyzing performance metrics, and identifying opportunities for process improvement.
- Demonstrated ability to develop actionable recommendations and implement sustainable operational solutions.
- Strong analytical, problem-solving, project management, and communication skills.
- Ability to work independently, manage multiple priorities, and collaborate effectively with clients and cross-functional teams.
- High School Diploma or GED required.
- For home work, cable broadband or fiber optic internet service with speeds of at least 10 Mbps download and 5 Mbps upload.
Nice To Haves
- Bachelor’s degree in business, healthcare administration, finance, or a related field.
- Experience providing consulting or advisory services to healthcare organizations.
- Experience with Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, or comparable infusion management systems.
- Experience supporting system implementations, workflow redesign, testing, training, and operational optimization.
- Knowledge of Medicare, Medicaid, commercial payer reimbursement methodologies, and managed care contracting.
- Experience developing executive reports, financial analyses, standard operating procedures, and operational recommendations.
- Familiarity with healthcare automation, emerging technologies, and revenue cycle performance benchmarking.
Responsibilities
- Conduct revenue cycle assessments to identify operational inefficiencies, reimbursement risks, and opportunities to improve financial performance.
- Analyze financial and operational KPIs, industry benchmarks, and trends to develop actionable recommendations.
- Provide subject matter expertise in infusion reimbursement, payer requirements, billing operations, and revenue cycle optimization.
- Support process improvement initiatives, including workflow redesign, standardization, automation, and development of best practices.
- Provide revenue cycle guidance during system implementations, conversions, and optimization initiatives, including configuration, testing, training, and go-live support.
- Collaborate with clients and internal stakeholders to identify business needs, resolve challenges, and implement sustainable solutions.
- Develop project deliverables, operational assessments, executive reports, and recommendations to support client decision-making.
- Maintain knowledge of industry trends, regulatory changes, and emerging technologies to identify opportunities for innovation and improvement.
- Support client relationships, business development initiatives, and organizational growth through subject matter expertise and industry engagement.
Benefits
- Medical insurance
- Vision insurance
- Dental insurance
- Well-being and behavioral health programs
- 401(k)
- Company-paid life insurance
- Tuition reimbursement
- A minimum of 18 days of paid time off per year
- Paid holidays
- Leaves of absence
- Eligibility to participate in an annual bonus plan
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
