
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.
🔥 0 minutes 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 Management, Sales, and customers to understand needs and assemble cross-functional teams • Develop long-term account strategies and project pipelines with Account Executives • Evaluate prospective customer needs and develop pre-sales implementation proposals • Estimate and propose solutions using expert Professional Services resources • Maintain project pipelines and re-forecast resource demands and revenue to optimize staffing • 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 business objectives • Identify and mitigate project and organizational risks • Collaborate with HealthEdge and customer senior leadership to align expectations and processes • Drive adherence to and refinement of best practices • Monitor customer satisfaction and champion improvements to HealthEdge offerings • Track client- and portfolio-level P&L with 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 functions consistent with HealthEdge policies and procedures, including PHI and PII handling requirements
• 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 with individuals at all organizational 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 the status quo to continuously improve processes and offerings • Ability to evaluate and negotiate Statements of Work • Proficiency with Microsoft Office applications such as Word, Excel, and PowerPoint • Candidates may be required to complete a pre-employment criminal background check
• Remote work environment • Hybrid or remote work environment across multiple time zones • May require travel dependent on company needs • Reasonable accommodations for individuals with disabilities • Equal opportunity and workforce diversity commitment
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