About The Position

You provide strategic leadership and operational oversight for payer consulting portfolios that bridge technology, regulatory requirements, and core health plan operations. You are accountable for defining payer-focused service offerings, delivery standards, and performance outcomes that improve operational efficiency, compliance, member experience, and financial performance while supporting sustainable business growth. In partnership with client executives and internal delivery leaders, you guide engagements from strategy through execution, overseeing current-state operational assessments, future-state operating model and workflow design, and large-scale technology transformations. These initiatives leverage payer platforms such as core administration and claims processing systems, enrollment and eligibility platforms, care and utilization management tools, provider network systems, and analytics and reporting solutions. Through strong governance, hands-on leadership, mentorship, and cross-functional collaboration, you ensure high-quality delivery at scale, manage delivery and regulatory risk, develop consulting talent, and build trusted, long-term client partnerships with health plan leaders.

Requirements

  • Bachelor's degree in a related field or equivalent experience. Master’s degree or MBA preferred.
  • Actively pursuing or maintaining relevant certifications
  • Has extensive related experience in healthcare consulting or technology leadership experience, including:
  • Engagement-executive oversight of multi-million dollar engagements or programs.
  • Strategic leadership across multiple client portfolios and service lines.
  • Client relationship management and negotiation.
  • People management, including coaching, performance evaluation, and staffing.
  • Budget ownership and P&L accountability.
  • Strategic planning and solution design.
  • Business development and proposal development.
  • Mentorship and professional development of consulting staff.
  • Expert knowledge of the organization and functional area(s).
  • healthcare operations, systems, or digital transformation.
  • business operations and strategy, particularly within the healthcare sector, understanding market trends and client needs.
  • Insight into key business drivers and dynamics.
  • Advanced knowledge of healthcare regulations, interoperability standards, and industry frameworks.
  • In-depth understanding of consulting methodologies and project management approaches (Agile, Scrum, PMBOK).
  • Operational understanding of employment laws relevant to people leadership.
  • Constantly monitors industry trends, technologies, and best practices to ensure Tegria remains a leader.
  • Broad knowledge of the healthcare IT consulting industry.
  • Have reliable internet access and sufficient speed to perform the job satisfactorily.
  • Negotiate with multiple levels of stakeholders to influence decisions impacting client success and Tegria success.
  • Represents Tegria effectively in all internal and external interactions.
  • Provide engagement-executive presence and leadership across multiple, concurrent workstreams.
  • Align initiatives with business and strategic goals through systems thinking and prioritization.
  • Demonstrate proficiency in Microsoft Office 365, Teams, project management tools and collaboration platforms.
  • Demonstrate sound judgment, resilience, and agility in ambiguous or high-pressure environments.
  • Apply advanced critical thinking and analytical skills to solve complex client problems.
  • Collaborate across departments and disciplines, influencing outcomes without direct authority.
  • Communicate effectively across diverse audiences, from technical teams to C-suite executives.
  • Deliver compelling, polished presentations with confidence and energy.
  • Prioritize effectively and adjust to shifting demands while maintaining focus and quality.
  • Foster a culture of engagement, accountability, and excellence.
  • Lead organizational development and change.
  • Travel to client sites, industry and company events.

Nice To Haves

  • Master’s degree or MBA preferred.

Responsibilities

  • Client Delivery & Strategic Engagement Provide executive oversight and strategic leadership across complex healthcare consulting portfolios, ensuring delivery aligns with client goals, contractual commitments, and regulatory standards.
  • Serve as Engagement Executive or Strategic Advisor to client leadership, translating enterprise challenges into actionable, outcome-driven plans.
  • Lead cross-functional teams to deliver high-impact solutions that improve operations, drive transformation, and support long-term client success.
  • Resolve cross-cutting issues, ensure alignment across stakeholders, and maintain visibility into portfolio performance, risks, and mitigation strategies.
  • Guide organizational change efforts to support technology adoption and operational sustainability.
  • Solution Oversight & Transformation Leadership Oversee assessment, design, and implementation of scalable solutions.
  • Ensure delivery of scalable, measurable solutions through strategic work planning, quality assurance, and measuring results.
  • Champion innovation and process improvement by introducing best practices, methodologies, and emerging technologies that support healthcare transformation.
  • Risk & Compliance Management Identify systemic risks across the consulting portfolio and lead resolution efforts in partnership with client and internal leadership.
  • Serve as the executive escalation point for critical delivery issues, ensuring swift resolution and sustaining client relationships.
  • Maintain oversight of compliance with healthcare regulations, cybersecurity standards, and organizational governance requirements.
  • Client Enablement & Executive Coaching Build and maintain trusted advisor relationships with client executives, guiding long-term strategy and fostering client ownership of delivered solutions.
  • Establish frameworks for knowledge transfer, capability building, and system adoption success post-engagement.
  • Organizational Alignment & Service Evolution Align consulting delivery with Tegria’s strategic objectives and service line goals; contribute to operational strategy, capability development, and cross-functional coordination.
  • Provide market intelligence and client feedback to inform service innovation, strategic investments, and continuous improvement initiatives.
  • Internal Leadership Perform formal people-management duties. Administer and document personnel actions including performance evaluations, coaching, discipline, pay changes, and promotions in accordance with Tegria policies and procedures.
  • Lead and develop high-performing teams; oversee performance, engagement, and succession planning.
  • Promote a culture of excellence, accountability and respect.
  • Serve as an executive mentor to rising leaders and subject matter experts.
  • Manage the P&L of projects, including scoping, pricing, statements of work, costs, payment and risk terms, budget, tracking, forecasting, and management.
  • Oversee the strategic direction of your service line or practice line
  • Oversee utilization and allocation of budgets and resources.
  • Assist executives and senior managing directors in defining organizational goals and strategic plans.
  • Develop guidelines, processes, and procedures to accomplish objectives and ensure compliance with company and regulatory requirements
  • Business Development Manage the P&L of projects, including scoping, pricing, statements of work, costs, payment and risk terms, budget, tracking, forecasting, and management.
  • Lead strategic pursuits, proposals, and account expansions.
  • Collaborate with sales, marketing, and solution leaders to position offerings, shape go-to-market strategies, and secure new business.
  • Represent Tegria at industry events, client executive forums, and thought leadership opportunities
  • Additional Responsibilities Perform other duties as assigned in support of Tegria’s mission and growth.

Benefits

  • Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.
  • Your health, holistically. We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.
  • Your financial well-being. We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.
  • And everything in between. Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.
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