Hello,

 

Greetings!!!

 

This is *Pavan *from *DamcoSoft. *We have following C2C requirements with 
our client, please check following requirements and kindly share your 
profile at *pavankumar.manepa...@damcosoft.com* 
<pavankumar.manepa...@damcosoft.com>* or call me at **+1 212-389-9503 Ext: 
498.*

 

*Position: Senior Healthcare Consultant/Senior BA/PM*

*Pittsburg, PA (F2F is Mandatory)*

 

*Job Description:-*

The Healthcare Business Consultant will provide consulting services to 
strengthen and improve health care operations that result in stronger 
financial returns and a healthier health care system. The candidate will 
use strong strategic and business acumen to work closely with clients to 
define, develop and document business requirements to ensure needs are 
captured and critical deliveries are executed. This consulting career gives 
the opportunity to travel and share in a mission that inspires.

 

•          Process Improvement: process management and improvement, root 
cause analysis, problem solving, policies and procedures, desk-level 
procedures, training

•          Business Analysis: business requirements development, business 
analysis, gap identification, process and work flows design

•          Ability to set-up BA COE model for regional Payor account & lead 
team of BA’s

•          Ability to come up with processes & templates for requirement 
gathering & standardizing the process

•          Project Coordination / Management: documentation, meeting 
facilitation, project planning

•          Data Management: data analysis and financial analysis

•          Client relationship development and management

•          Business development and revenue growth

•          Defines and documents business and IT system processes. Models 
AS-IS and TO-BE processes. 

•          Accountable for complex claim related issues 

•          Analyze claims, Identify potential problems and trends, conduct 
root cause analysis to add enhancements, redesign of systems and improve 
efficiency

•          Analyzes business workflow and system needs for conversions and 
migrations; assists in data mapping.

•          Reviews, analyzes, and evaluates business processes and 
associated IT application requirements.  

•          Prepares high level user documentation and training materials 
and provide trainings to project teams

•          Ability to work independently as well as organize and coordinate 
work with others 

 

*Knowledge skills and Abilities:*

•          12+ years of experience working in an operations role at a 
health plan

•          8+ years of experience working in a management consulting 
organization (big 4 preferred)

•          8+ years of Healthcare experience in any of the following:

o          Government Programs, PBM, Clinical Health Management, Core 
Administer Delivery, Program Management, Product Management, or Network 
Management

•          7+ years of experience in one or more of the following:

o          Operational business process improvement, business process 
analysis, benchmark analysis or workflow analysis

•          Flexibility to travel 20%

•          Project coordination and management - strong project tracking, 
presentation and reporting skills

•          Experience writing and developing client facing materials in 
Microsoft Word, Visio, PowerPoint, Excel, Project

 

 

 

Thanks & Regards, 

 

*Manepalli Pavan Kumar*

*Sr Executive Recruiter*

(O) +1 212-389-9503 Ext: 498

(F)+1 347-826-3427  

(E)  pavankumar.manepa...@damcosoft.com

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PA Office:  Unit #204, 5001 Louise Drive, Mechanicsburg, PA 17055

Corporate: www.damcosoft.com

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