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Healthcare Operations Strategist

2 weeks ago


Medina, Washington, United States The AES Group Full time
Role Overview

We are seeking an experienced Healthcare Operations Strategist to lead our digital transformation initiatives and drive operational efficiency in the healthcare industry. As a key member of our team, you will be responsible for developing and implementing strategic plans to improve healthcare delivery, patient outcomes, and stakeholder experiences.

Key Responsibilities:

  • Lead consulting engagements and manage workstreams in start-up or consulting programs/projects, guiding small teams and contributing to the overall success of the healthcare practice.
  • Bring deep expertise in healthcare operations and practices, with a focus on key functional areas within the healthcare value chain, such as end-to-end claims processes, contact centers, utilization management, and prior authorization.

Requirements

  • A minimum of 10 years of experience in the healthcare domain, with a strong understanding of the healthcare value chain and its business functions, including payer/provider processes.
  • In-depth knowledge of one or more healthcare functional areas such as claims management, utilization management, contact centers, and appeals/grievances.