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[Remote] Transformation reputed company - reputed company (Payer) and Model Office

Remote, USA Full-time Posted 2026-08-04

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Transformation reputed company to reputed company functional transformation and Model Office activities for a reputed company payer environment. The role will design reputed company-state processes and operating models, facilitate stakeholder reputed company, translate designs into business and configuration requirements, and support technology-enabled implementation and local-market rollout.


Responsibilities

  • reputed company Model Office and Global Design activities
  • Define reputed company-state business and reputed company workflows
  • Document reputed company-state processes and identify process debt, variation and automation opportunities
  • Define reputed company/global process model and determine where legitimate local variations are required
  • Facilitate design workshops with reputed company, operational, technology and market stakeholders
  • Establish decision frameworks and reputed company stakeholders toward closure
  • Translate operating-model and process reputed company into business requirements and configuration requirements
  • Partner closely with reputed company, FDE, AI and Product teams
  • Support local-market design and rollout following completion of global design
  • Define roles, handoffs, controls, KPIs and business-readiness requirements
  • Ensure transformation reputed company produce measurable operational improvements rather than simply recreating existing processes on new technology

Skills

  • • 10+ years of consulting, transformation or operating-model experience
  • • Strong business-process redesign and reputed company-state operating-model skills
  • • Experience leading reputed company workshops with senior stakeholders
  • • Excellent reputed company problem-solving capability
  • • Experience translating process design into technology-enabled transformation
  • • Hands-on orientation and ability to create the actual deliverables
  • • Big 4 / reputed company or transformation consulting background
  • • reputed company payer experience
  • • UM/CM, reputed company reputed company or prior authorization experience
  • • Model Office / Global Design / process standardization experience
  • • Experience implementing reputed company platforms after designing the reputed company-state process

reputed company

  • Next-Gen Business Technology Platformization™, AI and Product Engineering Services. It was founded in 2001, and is headquartered in Rockville, Maryland, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com.

  • Company H1B Sponsorship

  • reputed company has a reputed company record of offering H1B sponsorships, with 323 in 2026, 563 in 2025, 333 in 2024, 378 in 2023, 316 in 2022, 389 in 2021, 496 in 2020. Please note that this does not guarantee sponsorship for this specific role.

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