BC sector health-Senior-Health Technology
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Job Summary
At EY were all in to shape your future with confidence.
Well help you succeed in a globally connected powerhouse of diverse teams and take your career wherever you want it to go.
Join EY and help to build a better working world.
Job Description: Senior Healthcare Technology Consultant
Role Summary
The Senior Healthcare Technology Consultant provides expert guidance across payer and provider domains supporting solution design technology implementation and strategic transformation initiatives. The role requires deep understanding of healthcare operations regulatory requirements and modern technology platforms such as Pega Salesforce and Epic. The consultant acts as a subject matter expert and collaborates closely with clients delivery teams and technical stakeholders to translate complex business needs into actionable scalable solutions.
Key Responsibilities
- Provide deep healthcare domain expertise across payer and provider operations including claims utilization management care management member/provider services and clinical workflows.
- Advise clients on end-to-end workflows regulatory requirements (HIPAA CMS Medicare/Medicaid) and leading industry best practices.
- Translate business needs and challenges into functional requirements solution concepts process flows and technical enablers.
- Support solution design and delivery for technology platforms such as Salesforce Health Cloud Pega Care Management/UM workflows and Epic (scheduling referrals authorization clinical modules).
- Partner with cross-functional teams to drive client engagements system implementations product configuration testing and rollout activities.
- Act as a subject matter expert across healthcare technology contributing to roadmap development capability modeling and operational assessments.
- Facilitate SME sessions discovery workshops and client presentations to support strategic initiatives and solution alignment.
- Develop high-quality consulting deliverables including process documentation capability models journey maps and recommendations reports.
Preferred Qualifications
- Experience working with health plans PBMs TPAs provider organizations or multi plan environments (Commercial MA Medicaid).
- Knowledge of key regulatory frameworks including HIPAA CMS rules Medicare/Medicaid processes compliance workflows and industry data standards.
- Exposure to healthcare platforms such as payer core systems EHRs care management tools CRM solutions or interoperability frameworks.
- (If applicable) Understanding of Pega Decisioning Pega Care Management or Pega Customer Service for Healthcare modules.
- Relevant professional certifications such as AHIP Lean Six Sigma PMP or platform specific credentials.
EY Building a better working world
EY is building a better working world by creating new value for clients people society and the planet while building trust in capital markets.
Enabled by data AI and advanced technology EY teams help clients shape the future with confidence and develop answers for the most pressing issues of today and tomorrow.
EY teams work across a full spectrum of services in assurance consulting tax strategy and transactions. Fueled by sector insights a globally connected multi-disciplinary network and diverse ecosystem partners EY teams can provide services in more than 150 countries and territories.
Required Experience:
Senior IC
About Company
EY denkstatt е символ на десетилетия опит в прогресивните прозрения за устойчивостта и доверителните отношения с клиентите.
