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Strategic Business Advisor

2 months ago

Hartford, Connecticut, United States HealthEdge Full time

Position Overview

The Strategic Business Advisor plays a pivotal role in guiding and mentoring the Service Delivery team through all Tier 1 (Basic) and Tier 2 (Intermediate) consulting projects. This role demands extensive expertise in Source products, encompassing both fundamental and advanced features, as well as a deep understanding of payment methodologies and healthcare plan operations.

About the Product

At HealthEdge, we are transforming the industry narrative by offering a comprehensive approach to payment integrity that emphasizes holistic reimbursement, agile editing, and integrated analytics. Our cloud-based solution is designed to adapt to the evolving needs of health plans, facilitating seamless integration across various organizational functions to enhance accuracy and insights. The Source platform empowers clients to achieve transformation at multiple levels, from reimbursement to enterprise-wide operations.

Who You Are

  • Innovative Thinker: You possess a relentless drive for improvement, challenging conventional methods and offering creative solutions. Your communication skills allow you to articulate ideas effectively to diverse audiences.
  • Analytical Problem Solver: You have a keen interest in acquiring knowledge and the ability to convey it credibly. Your analytical mindset enables you to evaluate details while keeping the broader perspective in mind.
  • Proactive Leader: You are self-motivated and capable of initiating projects and contributing ideas independently within a collaborative environment.
  • Collaborative Coach: You excel in fostering respect and teamwork, demonstrating natural leadership abilities that help develop and grow your colleagues.
  • Organized Multi-tasker: You thrive in dynamic environments, adeptly managing expectations and juggling multiple tasks with ease.

Key Responsibilities

Education and Consulting

  • Deliver comprehensive product education to Source end-users, covering both basic and advanced functionalities.
  • Provide expert guidance on payment methodologies, payment integrity, and healthcare operations.
  • Facilitate collaborative sessions to assess client needs and identify suitable solutions.
  • Oversee the development and execution of client-facing educational services.

Issue Management and Escalation

  • Address inquiries and manage issues related to Tier 1 and Tier 2 escalations.
  • Act as a key point of contact for critical client needs, leading the resolution of complex problems.
  • Collaborate with internal teams to ensure accurate problem interpretation and resolution.
  • Document client feedback and issues, partnering with relevant teams to drive service improvements.

Capability Development

  • Utilize and enhance tools and capabilities to streamline processes and improve service delivery.
  • Lead the development of new capabilities under the guidance of Service Delivery Leadership.

Team Management

  • Mentor and supervise Tier 1 and Tier 2 Service Delivery staff.
  • Collaborate with leadership to continuously improve performance and strategic initiatives.

Qualifications

  • Bachelor's degree in business, health services administration, or a related field, or equivalent experience.
  • Preferred certifications include AHIP, HFMA, AAPC, and/or AHIMA.
  • 5+ years of experience in training, education, or consulting.
  • Strong understanding of healthcare systems, payment methodologies, and health plan operations.
  • Experience with claims adjudication systems and billing specifications.
  • Proven problem-solving skills and the ability to manage complex issues.
  • Exceptional communication and organizational skills.
  • Ability to adapt to new technologies and a rapidly changing environment.

HealthEdge is committed to fostering a diverse and inclusive workplace, where all employees can thrive and contribute to delivering exceptional software and services.