HealthEdge · 1 day ago
Business Consultant
United States
Full-time
Remote
Senior Level
$135K/yr - $150K/yr
5+ years expHealthEdge is a company providing innovative technology solutions for healthcare payors. The Business Consultant role involves supporting customer-funded service delivery initiatives, focusing on the implementation and optimization of healthcare claims software solutions to meet client needs.
Enterprise SoftwareHealth CareProduct DesignSoftware
Responsibilities
Drive successful implementation and optimization of healthcare claims software solutions for clients
Apply extensive understanding of healthcare claims processes, project organization skills, and relationship management skills
Deliver mid- to complex software projects, accurately forecasting and scheduling business deliverables to meet project timelines
Support end-to-end healthcare claims software implementation projects, within assigned Value Stream, ensuring alignment with client objectives and timelines. Collaborate with other team members within assigned Value Stream
Engage with clients and collaborate with clients to understand their needs and support the design of tailored software solutions that meet business requirements within assigned Value Stream, including handling configuration of HealthRules Payer and related solutions
Identify potential project risks through proactive monitoring and develop mitigation strategies to ensure project success
Identify functional gaps within HealthRules Payer suite
Ensure quality assurance and compliance of mid- to complex healthcare claims software project deliverables
Stay current with healthcare industry trends and best practices, continuously seeking opportunities to improve HealthEdge’s implementation processes
Qualification
Required
Bachelor's degree in Computer Science, Information Technology, or HealthCare Administration, or a closely related field (foreign equivalent is acceptable)
5 years of employment experience in healthcare services industry
A minimum of 5 years of demonstrated employment experience in business analysis and process improvement in healthcare
A minimum of 5 years of demonstrated employment experience working with healthcare plans, claims, and benefits administration
A minimum of 5 years of demonstrated employment experience guiding customers and facilitating resolution of customer issues
A minimum of 3 years of demonstrated employment experience in system configuration, design, development, maintenance, application support, enhancement, and implementation of healthcare applications
A minimum of 3 years of demonstrated employment experience using SQL query in Oracle to generate data reports for analysis and quality improvement
A minimum of 3 years of demonstrated hands-on employment experience with HRP or equivalent core system experience
A minimum of 3 years of demonstrated employment experience in project management and supporting project deliverables
Company
HealthEdge
HealthEdge Software offers benefits administration and care management software solutions.
1001-5000 employees
H1B Sponsorship
HealthEdge 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 (45)
2024 (37)
2023 (35)
2022 (56)
2021 (35)
2020 (34)
Funding
Current Stage
Late StageTotal Funding
$97.78MKey Investors
MedicaOaktree Specialty LendingPsilos Group
2025-04-08Acquired
2020-03-09Private Equity
2017-07-14Series Unknown· $34M
Leadership Team
A
Alex Saltzman
Chief of Staff to the CEO & Senior Vice President of Corporate Development
Kevin Adams
Chief Executive Officer
Recent News
2025-12-06
Precedence Research
2025-11-21
Company data provided by crunchbase