Strategy & Operations Health Plan Operations Managing Consultant

Impact Advisors•Chicago, IL

49d•$130,000 - $170,000

About The Position

As a Strategy & Operations Managing Consultant you continue to grow your healthcare career in a collaborative, supportive and inclusive environment. You'll be a vital leader on a team that is passionate about improving healthcare. As the Health Plan Operations Managing Consultant you must possess deep healthcare expertise in the health plan domain. In this role, you will work closely with healthcare clients to optimize and support their claims processing operations by configuring, analyzing, and troubleshooting Epic Tapestry, FACETS and other core operating systems, ensuring seamless integration across downstream workflows, maintaining data integrity, and driving process improvements that enhance accuracy, efficiency, and overall system performance. You will have ownership of all deliverables within an engagement and serve as the primary day-to-day contact with clients. Leadership and the ability to be a player/coach are critical characteristics of being successful in this role. You'll be supporting and leading initiative teams in driving improvements for our clients. As a manager, you'll be an example of our strong company culture and have a hand in developing our innovative and quickly expanding team. About Impact Advisors: Impact Advisors is a nationally recognized healthcare consulting firm dedicated to improving healthcare through process improvement and technology. As a trusted healthcare leader, we help clients optimize clinical and operational performance through our Best in KLAS® advisory and implementation services. Our goal is to provide innovative solutions to the industry's toughest challenges. About You: Must have a broad understanding of the three market segments including Individual/Family (Retail), Commercial and Government sponsored (Medicare & Medicaid) Must have broad understanding of key business functions within a health plan including network configuration, claims adjudication, benefit design and an awareness of ancillary products specifically how they interact with the core product. Experienced consultant leader focused on developing strategies to solve complex operational problems for our healthcare clients 3-5 years of experience working with Epic Tapestry and/or FACETS in a healthcare payer or provider environment. Strong understanding of claims processing workflows, including adjudication, pricing, and downstream system integration. Proven experience in technical analysis, system configuration, and troubleshooting of claims or related healthcare applications. Proven experience developing business requirements liaising with technical architects and developers to facilitate planning and implementation processes Familiarity with data integration tools, SQL queries, and interface troubleshooting to support claim data flow and issue resolution.[JP1] Structuring engagement activities, delegating effectively, and coaching junior staff. Serve as the final reviewer for deliverables with a thoughtful, diligent, and critical eye. Lead client calls regularly, delegating speaking parts as appropriate. Strategy development experience is strongly preferred. Able to manage competing priorities with a high level of organization and attention to detail Have a growth mindset and are prepared to expand and develop your talents with this rapidly growing team Hold a Bachelor's degree An advanced degree is preferred but not required (MBA, MHA, MPH). Able to travel according to client needs up to 80% of the time Authorized to work in the US Our People and Culture: We believe in a caring, fun, honest and autonomous work environment and we recognize that our dedication to our associates drives our success. Our mission to create a Positive Impact fuels our associates to innovate and deliver high value services to our clients. At Impact Advisors, we prioritize transparency and equity in our compensation practices. This role has a salary range of $130,000 to $ 170,000 and may also be eligible for an annual discretionary bonus. This range accounts for various factors, including skills, experience, training, certifications, and organizational needs. In healthcare, many of the greatest ideas and discoveries come from a diverse mix of minds, backgrounds and experiences, and we are committed to cultivating an inclusive work environment. Impact Advisors provides equal opportunities to all employees and applicants for employment without regard to race, religion, color, age, sex, national origin, sexual orientation, gender identity, genetic disposition, neurodiversity, disability, veteran status, or any other protected category under federal, state and local law.

Requirements

Must have a broad understanding of the three market segments including Individual/Family (Retail), Commercial and Government sponsored (Medicare & Medicaid)
Must have broad understanding of key business functions within a health plan including network configuration, claims adjudication, benefit design and an awareness of ancillary products specifically how they interact with the core product.
Experienced consultant leader focused on developing strategies to solve complex operational problems for our healthcare clients
3-5 years of experience working with Epic Tapestry and/or FACETS in a healthcare payer or provider environment.
Strong understanding of claims processing workflows, including adjudication, pricing, and downstream system integration.
Proven experience in technical analysis, system configuration, and troubleshooting of claims or related healthcare applications.
Proven experience developing business requirements liaising with technical architects and developers to facilitate planning and implementation processes
Familiarity with data integration tools, SQL queries, and interface troubleshooting to support claim data flow and issue resolution.
Structuring engagement activities, delegating effectively, and coaching junior staff.
Serve as the final reviewer for deliverables with a thoughtful, diligent, and critical eye.
Lead client calls regularly, delegating speaking parts as appropriate.
Able to manage competing priorities with a high level of organization and attention to detail
Have a growth mindset and are prepared to expand and develop your talents with this rapidly growing team
Hold a Bachelor's degree
Able to travel according to client needs up to 80% of the time
Authorized to work in the US

Nice To Haves

Strategy development experience is strongly preferred.
An advanced degree is preferred but not required (MBA, MHA, MPH).

Responsibilities

configuring, analyzing, and troubleshooting Epic Tapestry, FACETS and other core operating systems
ensuring seamless integration across downstream workflows
maintaining data integrity
driving process improvements that enhance accuracy, efficiency, and overall system performance
ownership of all deliverables within an engagement
serve as the primary day-to-day contact with clients
supporting and leading initiative teams in driving improvements for our clients