Responsibilities
Key Responsibilities
Strategic Advisory: Act as a trusted partner to CTOs, CIOs, and senior leadership, providing expert guidance on technology strategy, digital transformation, and enterprise architecture aligned with payer business goals.
Emerging Technology Advisory: Advise clients on the adoption and integration of emerging technologies, such as artificial intelligence (AI), machine learning, and blockchain, to enhance operational efficiency, member experience, and competitive advantage in the payer market.
Solution Architecture: Design and recommend scalable, innovative technology solutions, including AI-driven tools and platforms, tailored to the unique needs of healthcare payer organizations, ensuring alignment with industry standards and regulatory requirements.
Thought Leadership: Develop and present relevant presentations, workshops, whitepapers, and executive briefings to articulate opportunities to bring technical and process solutions to add technical & business value to a diverse set of stakeholders.
Industry Expertise: Leverage deep understanding of the payer market, including claims processing, member management, provider networks, and regulatory compliance, to address client challenges and identify growth opportunities.
Mentorship: Guide and mentor junior resources on the account team, fostering a culture of innovation and excellence in leveraging emerging technologies and relentlessly pursing value for the customer.
Qualifications
Technical Skills
Experience: 10+ years in technology roles, with at least 5 years focused on healthcare payer systems or related industries
Technical Background: Strong foundation in software development, cloud architecture (e.g., AWS, Azure, Google Cloud), and integration technologies (e.g., APIs, ETL processes)
Enterprise Architecture: Demonstrated experience designing and implementing enterprise-level solutions, familiarity in frameworks like TOGAF or Zachman are a nice to have
Industry Knowledge: In-depth understanding of payer-specific systems (e.g., claims adjudication, enrollment, billing) and regulatory frameworks (e.g., HIPAA, CMS guidelines)
Professional Services: Strong understanding of the professional services industry, including technical services, systems integration and strategic business solutions
Service Delivery: Experience delivering and/or developing full lifecycle solution development engagements for enterprise initiatives with gross fees in excess of $5M annually
Client Solutions: Ability to apply area of expertise to demonstrate specific “value add” solutions from client perspective and establish yourself as an innovator and trusted advisor.
Soft Skills
Communication: Exceptional verbal and written communication skills, with the ability to translate technical concepts into clear, business-focused messages for executive audiences
Storytelling: Proven ability to craft and deliver compelling narratives that inspire action and align stakeholders around a shared vision
Relationship Building: Strong interpersonal skills to establish trust and credibility with C-level executives and diverse stakeholders
Problem-Solving: Strategic thinker with a track record of solving complex challenges in high-stakes environments
Adaptability: Ability to thrive in a fast-paced, dynamic consulting environment, managing multiple client priorities simultaneously
Preferred Qualifications
Advanced degree (e.g., MBA, MS in Computer Science, or related field).
Certifications in enterprise architecture (e.g., TOGAF, AWS Certified Solutions Architect)
Prior consulting experience with healthcare payer organizations
Familiarity with emerging technologies (e.g., AI, blockchain) and their applications in the payer space
Any Graduate