Job Summary
Consulting Manager role in a global organization responsible for driving complex payer focused consulting engagements guiding teams to deliver measurable business outcomes and partnering with client stakeholders in a hybrid day shift work model without travel requirements. The role demands 12 to 15 years of experience in payer domain driven consulting.
Responsibilities
- Lead end to end payer focused consulting engagements by translating client strategic priorities into clear project scopes and outcomes that advance healthcare affordability and access for members through data informed decisions.
- Drive structured consulting methodologies for payer clients by defining hypotheses designing analyses and synthesizing findings into actionable recommendations that optimize claims operations provider networks and member experience.
- Oversee development of payer specific business cases by quantifying financial impact operational benefits and risk mitigation strategies that support client investment decisions and align with regulatory and compliance expectations.
- Provide day to day guidance to project teams in a hybrid work environment by coordinating tasks aligning deliverables and managing timelines to ensure consistent high quality outputs for payer stakeholders.
- Coordinate stakeholder engagement with payer executives and managers by facilitating workshops requirements sessions and review meetings that clarify objectives and build shared understanding of solution roadmaps.
- Analyze payer data sets and performance metrics by identifying trends variances and root causes that inform recommendations on utilization management quality programs and cost containment initiatives.
- Develop clear consulting deliverables for payer projects by creating presentations reports and dashboards that communicate complex concepts in an accessible manner and support informed client decision making.
- Collaborate with internal cross functional teams by integrating expertise from technology data operations and compliance to design holistic solutions that strengthen payer capabilities and member outcomes.
- Monitor engagement progress and risks by tracking milestones dependencies and issues while implementing corrective actions that keep payer projects on schedule and within agreed scope.
- Support practice development activities by contributing payer related thought leadership reusable assets and methodologies that enhance the consulting portfolio and improve consistency of client delivery.
- Mentor junior consulting staff by sharing payer domain knowledge consulting techniques and professional practices that build a strong talent pipeline and increase overall team effectiveness.
- Guide clients on adoption of digital and analytic solutions tailored to payer operations by outlining implementation approaches that reduce manual effort improve accuracy and support more personalized member services.
- Align consulting work with the company purpose by advancing innovative payer solutions that promote sustainable healthcare systems better population health outcomes and increased transparency for members.
Qualifications
- Bring 12 to 15 years of progressive consulting experience with a strong focus on payer organizations covering health plans managed care entities or similar insurance providers supported by consistent client facing delivery.
- Demonstrate deep understanding of payer business processes including benefits design claims adjudication enrollment billing provider contracting and member services with proven experience improving performance in these areas.
- Apply working knowledge of regulatory and compliance considerations for payer operations such as healthcare policies and quality programs to ensure recommendations are practical and conform to industry expectations.
- Use strong analytical and problem solving skills to interpret complex payer data design meaningful metrics and generate insights that drive operational efficiency and quality improvements.
- Communicate effectively through structured storytelling clear documentation and confident presentation abilities that enable productive discussions with payer executives and operational teams.
- Operate comfortably in a hybrid working model by managing collaboration across onsite and remote team members and using digital tools to maintain project momentum and high engagement.
- Exhibit solid consulting fundamentals including stakeholder management project planning issue resolution and benefit realization tracking that consistently lead to successful payer engagements.
コグニザントについて
コグニザント（NASDAQ: CTSH）は、AI Builderおよびテクノロジーサービスプロバイダーとして、お客様にフルスタックのAIソリューションを構築することで、AI投資と企業価値を結ぶ架け橋となっています。業界、ビジネスプロセス、エンジニアリングに関する当社の深い専門知識を活かし、組織固有のビジネス環境をテクノロジー・システムに組み込みます。これにより、人間の可能性を最大限に引き出し、確かな成果を実現するとともに、急速に変化する世界においてグローバル企業が常に一歩先を行くための支援を行っています。 詳細については、cognizant.ai をご覧ください。
雇用に関する追加情報
本募集に記載されている報酬情報は、掲載日時点で正確なものです。Cognizantは、適用される法令に従い、いつでも本情報を変更する権利を留保します。
応募者は、対面またはビデオ会議による面接への参加を求められる場合があります。また、各面接の際に、現在有効な州政府または政府発行の身分証明書の提示を求められる場合があります。
Cognizantは機会均等雇用主です。応募および選考において、人種、肌の色、性別、宗教、信条、性的指向、性自認、国籍、障がい、遺伝情報、妊娠、退役軍人の地位、その他連邦法・州法・地方自治体の法律により保護されるいかなる特性に基づく差別も行いません。
