Client Solution Executive

Job not on LinkedIn

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🍂 Massachusetts – Remote

🍂 Massachusetts – Remote

⏰ Full Time

🟠 Senior

🔴 Lead

👔 Executive

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

👻 Ghost score 10%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Tegria

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2020

💼 Consulting

🏥 Healthcare

⚕️ Healthcare Insurance

Consulting • Healthcare • Healthcare Insurance

Tegria is a global healthcare consulting and services company that partners with provider and payer organizations to advance care, improve performance, and tackle the biggest challenges in healthcare. They offer a range of services including patient access optimization, data analytics, cloud solutions, and revenue cycle transformation to create value and enhance healthcare delivery. Tegria focuses on streamlining operations, fostering innovation, and leveraging technology to maximize performance and improve patient experiences.

📋 Description

• Serve as executive advisor to client leadership on claims platform modernization and enterprise transformation initiatives • Lead strategic planning sessions and define program objectives, success criteria, and value realization strategies • Develop executive communications, steering committee presentations, and program status updates • Build relationships with senior client stakeholders and vendor leadership teams • Provide thought leadership on healthcare payer operations, claims processing, and modernization best practices • Establish and oversee EPMO governance frameworks, including program planning, scheduling, RAID management, stage-gate reviews, executive reporting, compliance, and risk management • Ensure program alignment with strategic objectives and operational priorities • Lead cross-functional teams to drive accountability and execution • Oversee technical solution strategy and guide architecture decisions for dual-platform claims processing environments • Collaborate with architects, solution engineers, and technical SMEs on scalable solutions • Ensure integration of data, reporting, and operational performance capabilities • Evaluate solution alternatives and recommend approaches balancing cost, risk, and business value • Provide executive oversight for claims adjudication validation and payment accuracy initiatives • Drive parity testing and quality assurance across multiple claims platforms • Identify process improvements and operational efficiencies • Ensure compliance with contractual, regulatory, and client-specific requirements • Lead alignment across Facets, HealthEdge, and supporting enterprise systems • Facilitate integration planning, process harmonization, organizational readiness, and future-state implementation planning • Champion stakeholder engagement, executive sponsorship, readiness assessments, adoption planning, communication, and change enablement • Provide executive consulting for emerging initiatives and strategic opportunities • Evaluate challenges and recommend actionable solutions • Identify opportunities to improve performance, reduce risk, and accelerate modernization • Support business development, growth initiatives, and solution pursuits through strategic leadership

🎯 Requirements

• Bachelor's degree in Healthcare Administration, Information Systems, Business Administration, Computer Science, or related field • 15+ years of healthcare payer, managed care, government healthcare, or healthcare technology experience • 10+ years leading large-scale business transformation, PMO, or modernization programs • Demonstrated experience supporting complex healthcare payer organizations or government healthcare programs • Deep understanding of claims administration, payment integrity, operations, and healthcare technology ecosystems • Experience leading executive governance, stakeholder management, and enterprise-level program delivery • Strong knowledge of enterprise architecture, systems integration, and digital transformation • Proven ability to manage complex, multi-vendor engagements • Experience with HealthEdge, Facets, or other core administration platforms preferred • PMP, PgMP, Lean Six Sigma, TOGAF, SAFe, or equivalent certifications preferred • Experience supporting Medicare, Medicaid, Commercial, or Government Programs preferred • Background in enterprise transformation consulting, advisory services, or executive program leadership preferred • Experience establishing or leading Enterprise PMOs preferred

🏖️ Benefits

• Multiple health and dental plans with nationally recognized networks • Vision benefits • Total wellness program • Employee assistance program for employees and families • Competitive wages • Retirement savings plans • Company-paid disability and life insurance • Pre-tax savings opportunities (HSA and/or FSA) • Professional development offerings • Opportunities for remote work • Generous paid-time-off program • Flexible scheduling to accommodate vacations, illness, life events, and unexpected circumstances