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Strategic Business Advisor

2 months ago

Providence, Rhode Island, United States HealthEdge Full time


HealthEdge Software Inc - Strategic Business Advisor
The Strategic Business Advisor plays a pivotal role in guiding and mentoring the Service Delivery team through various consulting initiatives.

This position requires extensive knowledge and expertise in Source products, covering a spectrum from fundamental to advanced features and functionalities. A deep understanding of payment methodologies and policies, including Medicare, Medicaid, and commercial systems, is essential, along with insights into payment integrity and healthcare operations.


About the Product:

With Source, we are redefining industry standards by adopting a comprehensive approach to payment integrity, emphasizing thorough reimbursement, agile editing, and integrated analytics.

Our cloud-based, interoperable solution is designed to adapt to the evolving needs of health plans, ensuring that disparate elements of a payer's organization are unified for enhanced accuracy and insights.


Who You Are:
Innovative Thinker: You possess a relentless drive for improvement, challenging conventional practices and approaching obstacles with creativity and constructive feedback.
Analytical Visionary: You have an insatiable curiosity and the ability to share your knowledge effectively with both internal teams and external stakeholders.
Proactive Leader: You are self-motivated, capable of initiating projects and contributing ideas independently while thriving in a collaborative environment.
Collaborative Coach: You cultivate mutual respect within teams and achieve success through collective efforts.
Flexible Organizer: You excel in managing multiple tasks and adapting to fast-paced, dynamic environments.
Key Responsibilities:
  • Deliver comprehensive product education, covering both basic and advanced features for Source end-users.
  • Facilitate collaborative sessions to assess client needs and propose suitable solutions.
  • Oversee the development and execution of client-facing educational services.
  • Act as a primary contact for urgent client requirements as necessary.
  • Lead the diagnosis and resolution of complex client issues.
  • Maintain effective communication with clients throughout the problem-solving process, demonstrating exceptional customer service skills.

Qualifications:
  • A Bachelor’s degree in business, health services administration, mathematics, science, or a related field, or equivalent work experience.
  • 5+ years of experience in training, education, or consulting is preferred.
  • Practical knowledge of the healthcare system, particularly regarding Medicare, Medicaid, managed care, and commercial payment methodologies.
  • Experience in interpreting complex health-plan provider rates and claim editing provisions.
  • Strong analytical abilities paired with excellent written and verbal communication skills.

Work Environment:

The responsibilities outlined here represent the essential functions of this role. This description is intended to provide a general overview and is not an exhaustive list of all duties and skills required.