Impact Advisors · 2 weeks ago
Strategy & Operations Health Plan Operations Managing Consultant
Chicago, IL
Full-time
Hybrid
Mid, Senior Level
$130K/yr - $170K/yr
3+ years expImpact Advisors is a nationally recognized healthcare consulting firm dedicated to improving healthcare through process improvement and technology. In this role, you will work closely with healthcare clients to optimize their claims processing operations and drive process improvements while leading initiative teams and serving as a primary contact for clients.
Health CareHospitalInformation Technology
Responsibilities
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
Have ownership of all deliverables within an engagement and serve as the primary day-to-day contact with clients
Support and lead initiative teams in driving improvements for our clients
Serve as the final reviewer for deliverables with a thoughtful, diligent, and critical eye
Lead client calls regularly, delegating speaking parts as appropriate
Structuring engagement activities, delegating effectively, and coaching junior staff
Manage competing priorities with a high level of organization and attention to detail
Qualification
Required
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
Preferred
Strategy development experience is strongly preferred
An advanced degree is preferred but not required (MBA, MHA, MPH)
Benefits
Annual discretionary bonus
Company
Impact Advisors
Impact Advisors is a nationally recognized healthcare consulting firm.
501-1000 employees
H1B Sponsorship
Impact Advisors has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (1)
2023 (2)
2022 (1)
2020 (1)
Funding
Current Stage
Late StageLeadership Team
Andrew Smith
Co-Chief Executive Officer and Founder
Peter Smith
Chief Executive Officer, Co-Founder &Vice President
Recent News
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