
1001 - 5000 employees
Founded 2005
⚕️ Healthcare Insurance
☁️ SaaS
💳 Fintech
Healthcare Insurance • SaaS • Fintech
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
🔥 0 minutes ago
🇺🇸 United States – Remote
💵 $132k - $147k / year
⏰ Full Time
🟠 Senior
🔴 Lead
👔 Manager
🦅 H1B Visa Sponsor
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1001 - 5000 employees
Founded 2005
⚕️ Healthcare Insurance
☁️ SaaS
💳 Fintech
Healthcare Insurance • SaaS • Fintech
HealthEdge is a company that specializes in providing advanced solutions for healthcare payers through its HealthRules Solutions Suite. This suite includes a comprehensive digital claims administration processing system, care management workflow solutions, and payment integrity solutions, which aim to enhance operational efficiency and improve quality of care for health plans. By leveraging integrated technology and automation, HealthEdge helps health plans eliminate data silos, increase payment accuracy, and elevate member experience, thereby transforming the healthcare landscape for better collaboration and accessibility.
• Directly manage a team of Business Consultants, providing day-to-day leadership, guidance, and performance oversight • Ensure all team members have a clear understanding of client business objectives and the implementation plans in place to achieve them • Oversee the successful, on-time, and on-budget delivery of software implementation and expansion projects, maintaining a high standard of quality and client satisfaction throughout • Drive operational efficiency across project delivery by developing and enforcing consistent processes, methodologies, and best practices • Monitor project timelines, budgets, and resource allocation; identify and address risks before they impact delivery outcomes • Serve as a strategic partner to client stakeholders and internal Client Operations and Customer Success leaders, ensuring alignment on objectives, priorities, and delivery status throughout the engagement lifecycle • Act as a primary escalation point for client issues; proactively manage risks and lead corrective action planning with a client-first mindset • Lead scoping, sizing, and estimating efforts for assigned engagements, and manage competing priorities across the project portfolio • Coach customers on HealthEdge best practices and advocate for client needs internally to drive the best possible outcomes • Collaborate cross-functionally with Sales, Product, Customer Success, and other internal teams to ensure alignment on client objectives and delivery requirements • Provide regular coaching, feedback, and career development support to direct reports; encourage ownership of individual career growth • Participate in recruiting and employee development activities to build a balanced team with the right mix of skills • Prepare and present delivery performance metrics, project insights, and status updates to GPS and senior leadership • Drive continuous improvement initiatives that enhance client satisfaction, delivery quality, and team capability
• 8 or more years of experience in a consulting or professional services role within a technology company operating with a SaaS model • 3 or more years of direct people management experience, with demonstrated success leading and developing consulting teams • Bachelor’s degree in Business Administration, Information Technology, or a related field; equivalent experience considered • Prior health plan industry experience (HMO, PPO, POS, MAPD, Medicare, Medicaid, Dental, etc.) strongly preferred • Experience with Health Plan Claims and Benefits Administration software • Proven track record leading complex software implementation engagements, including client discovery, requirements gathering, configuration oversight, and end-to-end delivery • Demonstrated ability to manage project timelines, budgets, and resource allocation to deliver on commitments • Strong analytical and problem-solving skills, with the ability to negotiate solutions that address the needs of diverse stakeholders • Excellent written and verbal communication skills, with the ability to tailor messaging for a wide range of audiences, including executive stakeholders • Demonstrated ability to build strong client relationships and operate as a trusted advisor throughout the engagement lifecycle • Ability to manage cross-functional relationships and work effectively in a matrixed environment • Ability to thrive in a fast-paced, dynamic environment and adapt to shifting priorities • Proficiency in conflict management and navigating difficult conversations with confidence and diplomacy • Ability to guide business design, configuration approach, and execution planning as it relates to the HealthRules Payor platform • Experience with Smartsheet and Salesforce preferred • HealthRules Payor experience preferred
• HealthEdge commits to building an environment and culture that supports diverse representation of our teams • Inclusive workplace where all employees have the opportunity to belong, make an impact and deliver excellent software and services to customers
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