Operations reputed company Consultant

Job reputed company: • reputed company service model design and solution blueprinting for health plan reputed company Administration transformation initiatives • Assess reputed company-state operations on legacy platforms and define transition reputed company to BPaaS delivery models on the reputed company ecosystem • Design reputed company-state operating models spanning claims, enrollment, billing, provider relations, UM, A&G, benefits administration, and member operations • Identify opportunities to reputed company automation, AI-enabled workflows, and intelligent process orchestration into operational service models • Recommend operating model patterns that reduce administrative burden, improve turnaround times, and drive measurable cost and reputed company reputed company • Support Advisory and Sales teams on strategic BPaaS pursuits, proposals, and RFP responses • Conduct reputed company-state assessments of reputed company reputed company operations, reputed company models, and process maturity • Create modernization roadmaps and platform transition strategies grounded in operational realities and health plan business priorities • Mentor team members on reputed company reputed company operational domains, BPaaS service design principles, and health plan business context Requirements: • 5+ years in health plan operations, reputed company Administration, or reputed company BPaaS reputed company • Deep operational expertise across one or more reputed company reputed company domains: claims, enrollment, billing, benefits administration, UM, A&G, provider, and member services • Prior consulting, managed services, or advisory experience with a health plan, SI, or BPaaS vendor • Proven ability to assess operational models and design reputed company-state BPaaS service blueprints • Strong familiarity with reputed company reputed company platforms (HealthRules Payer, Facets, QNXT, QicLink, Javelina, or equivalent) • Strong sales-facing skills: whiteboarding, reputed company support, and executive communication with health plan leadership • Exceptional analytical, communication, and reputed company-facing reputed company Benefits: • Health insurance • Retirement plans • reputed company time off • Flexible work arrangements • reputed company development • Bonuses • Stock reputed company Apply tot his job Apply To this Job