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    Healthcare Consulting Manager - Taguig, Philippines, Pilipinas - Neksjob Philippines

    Neksjob Philippines
    Neksjob Philippines Taguig, Philippines, Pilipinas

    2 araw ang nakalipas

    NeksJob Philippines background
    Buong oras
    Paglalarawan
    Healthcare Consulting Manager


    Qualifications
    Your experience counts

    Bachelor's or master's degree with at least 2 years of experience working in US healthcare, Global healthcare industry or health product organizations

    Basic understanding of healthcare payer and provider value chains with exposure to

    Medium to large business/technology transformation programs (program management / architecture)

    Business process analysis and improvement (through design and implementation)

    Ability to work and coordinate with internal and external stakeholders/clients

    Should be flexible to support during US work hour

    Should have project experience in at least one of the following Health industry areas:

    Health Administration:
    Claims and reimbursement, membership management, enrollment, benefits administration, billing systems, provider & network management, core admin systems modernization

    Care Innovation:
    Clinical process redesign, digital health products, prior authorization

    Health Engagement:
    Member and provider portals, broker portals, health sales and marketing platforms, member experience, underwriting systems

    Products / Platforms:
    Facets, QNXT, HealthEdge, RxClaims, Salesforce, MS Dynamics, EMR (Epic, Cerner)

    Exposure to healthcare data sets, data analysis and visualization tools and techniques

    Health data interoperability – HL7 / FHIR


    Additional Skills For Business Analyst Role
    Experience in roles like Business Analysis, System Analysis, Process and Data Analysis

    Process Redesign – Current state assessment, future state design, root cause analysis, process gap assessment and improvement opportunities identification

    Should have worked on building Business Requirement Documents (BRD), Functional Requirement Documents (FRD), User Acceptance Testing (UAT), Functional Testing, Process Mapping/Documentation

    Good to have:
    Certifications or academic qualifications related to IT, process improvement and healthcare systems

    Additional Skills for Project Management (Project Manager and/or PMO) Role:

    Experience in at least one engagement in areas like Project Management, Delivery Management, Risk and Issue Management, Defects Management, Integrated Program Planning

    Strong coordination skills across business, product, technology, and delivery teams

    Hands-on experience in delivering technology-driven business transformation projects using agile practices such as Scrum, Kanban, SAFe, etc.

    Experience in agile related tools like JIRA Confluence/Rally/MS Projects/VersionOne, etc.

    Experience in creating and managing project delivery schedules, milestones, work plans, effort estimates, delivery quality

    Should have worked on creating and maintaining project status trackers, change log, issue and risk log, status updates / executive updates

    Knowledge of project financials management, advanced MS Excel functionalities and project performance reporting/dashboards

    Awareness of change life cycle and change management concepts

    Good to have:
    Certifications related to project management (ITIL, MSP, PMP, Prince2, etc.)
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