Senior Healthcare Consultant

SOLVENTUM•Albany, NY

23h•Remote

About The Position

At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue. We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you. The Regulatory and Payer Solutions business unit within Solventum Health Information Systems (HIS) is a leader in helping commercial and government payers control costs and increase access to quality care with clinically based methodologies developed and refined over more than 40 years. These reliable metrics support efforts to analyze and track performance, reduce inefficiencies, and drive better outcomes. As a Senior Healthcare Consultant, you’ll join a team dedicated to leveraging Solventum measures for payment, quality, and performance management across government, commercial, and international payer programs. Payment innovation, value-based care, and patient safety solutions center our efforts. In this role, you'll have the opportunity to demonstrate subject matter expertise in healthcare payment and quality, advanced problem-solving skills, and provide strategic leadership across complex projects and client engagements.

Requirements

Bachelor’s Degree or higher from an accredited university and (8) years of healthcare consulting, healthcare administration, payer, and/or data analysis in a private, public, government or military environment OR High School Diploma/GED or higher from an accredited institution and a minimum of (12) twelve years of experience in healthcare consulting, healthcare administration, payer, and/or data analysis in a private, public, government or military environment
Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).

Nice To Haves

Experience with commercial/government payer, healthcare consulting, medical management, value-based purchasing, and/or accountable care organizations.
Experience developing value-based strategies focusing on improving cost and quality outcomes.
Experience with healthcare claims data and developing technical specifications
Experience with additional data formats (ex. Unstructured data, C-CDA, EHR data)
Experience with one or more of Solventum classification tools such as Solventum Clinical Risk Groups (CRG), Solventum Population-focused Preventables (PFP), Solventum Potentially Preventable Readmissions (PPR), Solventum Potentially Preventable Complications (PPC), Solventum All Patient Refined Diagnosis Related Groups (APR DRG), and Solventum Enhanced Ambulatory Patient Groups (EAPG).
Master's degree in healthcare field or business administration.
Project Management Professional (PMP) certification.

Responsibilities

Leverage deep understanding of healthcare industry trends and Solventum methodologies to address complex client challenges and deliver innovative solutions that improve outcomes and reduce costs.
Manage multiple projects of varying scope concurrently, lead client meetings, resolve issues promptly, and update clients and senior leaders on progress and results.
Establish and maintain strong relationships with clients and internal stakeholders by anticipating needs, providing expert guidance, and collaborating across departments to create effective solutions.
Develop and share strategies, policies, and business requirements, assisting in translating them into technical specifications, and overseeing data analyses, reporting, and presentation preparation for both internal and external audiences.
Use expertise in healthcare claims to thoroughly examine client data, pinpointing trends and anomalies to provide recommendations and develop effective remediation strategies.
Create innovative solutions that integrate clinical and claims data, supporting clients in reaching their financial and care management goals.
Provide expert-level consulting, training, and support on Solventum classification products to clients and internal teams, supporting new product releases, tools, market expansion efforts, educational programs, and training sessions.
Drive discussions on market trends, lead innovative consulting initiatives, and act as a subject matter expert on industry topics and Solventum products both internally and externally.