
1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
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.
🔥 19 hours ago
🇺🇸 United States – Remote
💵 $192k - $199k / year
⏰ Full Time
🔴 Lead
📋 Program Manager
🦅 H1B Visa Sponsor
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1001 - 5000 employees
Founded 2005
🏥 Healthcare
💼 Consulting
⚕️ Healthcare Insurance
Healthcare • Consulting • Healthcare Insurance
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.
• Deliver Professional Services successfully to a portfolio of HealthEdge customers • Work with Account Executives to develop long-term account strategies and project pipelines • Evaluate prospective customer needs and develop pre-sales implementation proposals with Sales • Estimate and propose solutions using expert Professional Services resources • Maintain the upcoming-project pipeline and re-forecast resource demands and revenue • Support creation and negotiation of Statements of Work • Lead and support cross-functional teams, including Project Managers, Consulting Leads, and Technical Product Leads • Monitor project health, including schedule, margin, utilization, and customer and HealthEdge objectives • Identify and mitigate project- and organization-level risks • Align expectations and processes with HealthEdge and customer senior leadership • Drive adherence to and refinement of internal and external best practices • Monitor customer satisfaction and improve HealthEdge’s Professional Services offerings • Track client- and portfolio-level P&L with the Professional Services PMO and Finance • Manage customers to an appropriate level of profitability • Act as an escalation point for complex or critical customer situations • Prioritize HealthEdge deliverables across customers with peers and Account Management • Perform duties consistently with HealthEdge policies and procedures, including PHI and PII handling
• Bachelor’s degree • 5+ years of experience with direct responsibility for a consulting practice or managing a portfolio of accounts within a Professional Services organization • 5+ years of experience within the healthcare insurance, healthcare technology, or related industry • 10+ years of consulting and project management experience • Excellent analytical and problem-solving skills • Ability to negotiate solutions to complex issues • Proficiency in negotiating and managing conflict • Exceptional verbal and written communication skills • Proven ability to interact successfully with individuals at all levels, including C Suite executives • Ability to influence others in a matrixed environment • Flexible in adapting to changing priorities • Self-motivated, proactive, and able to work well under pressure in a fast-paced, results-oriented environment • Ability to challenge status quo to continuously improve processes and offerings • Ability to evaluate and negotiate Statements of Work • Proficiency with Microsoft Word, Excel, and PowerPoint • Ability to work across multiple time zones • Candidates may be required to complete a pre-employment criminal background check
• Remote work environment • Hybrid or remote work environment • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity employer committed to workforce diversity
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