Healthcare Business Architect in MN - Onsite - Contract

Job title: Senior Business Architect

Work Location: Minneapolis, MN. Candidate should be prepared to work onsite for the first 2-3 months, with potential for hybrid or remote work based on business conditions.

6 months further extension or Contract to hire

Job Description

seeking a highly experienced Senior Business Consultant / Architect with about 15-years in the US healthcare industry.

· Extensive Healthcare Experience: Seeking a candidate with approximately 15 years in the U.S. healthcare industry, encompassing payer systems, provider systems, and healthcare technology.

· Telehealth Expertise: Proficient in developing virtual healthcare solutions, specifically in primary care, urgent care, mental health, and virtual therapies.

· Virtual Healthcare Application Development: Experience in modernizing and enhancing virtual healthcare applications to improve patient experience and operational efficiency.

· Omnichannel Experience Development: Skilled in creating omnichannel experiences using web, mobile, chat, social media, and email platforms.

· EHR/EMR and RCM Proficiency: Strong background in Electronic Health Records (EHR)/Electronic Medical Records (EMR) systems and Revenue Cycle Management (RCM), focusing on delivering measurable business outcomes.

· Payer Operations Knowledge: Deep understanding of at least four functional areas within payer operations, such as claims processing, enrolment, billing, provider network management, clinical management, care management, authorizations, and referrals.

· Technical Implementation Insight: Ability to assess the feasibility of technical implementations and negotiate requirements with customer stakeholders.

· Business Outcome Focus: Adept at focusing on business outcomes and key performance indicators (KPIs), transforming problem statements into valuable business solutions.

· RFP Response Expertise: Experienced in responding to customer RFPs with solutions that meet client requirements and drive value.

· Negotiation Skills: Proven ability to negotiate effectively, handle challenging customer situations, and maintain positive client relationships.

· Data Analytics Programs: Expertise in designing and executing data analytics programs for actionable insights; knowledge of Value-Based Care analytics and Population Health Management.

· Healthcare Technology Proficiency: Familiar with at least one core administrative platform within U.S. payer systems (e.g., Facets, NASCO, Health Edge, MMIS).

· Salesforce and Oracle Implementation: Experience in implementing healthcare industry solutions using Salesforce and Oracle healthcare products.

· AI and Cloud Technologies: Familiarity with AI and generative AI technologies to develop AI-based healthcare use cases; knowledge of cloud-based data analytics platforms like Snowflake or DataBricks.

· EHR/EMR Integration Experience: Experience with leading EHR/EMR platforms and integrating them within healthcare IT ecosystems.

· Communication and Leadership Skills: Exceptional ability to communicate complex concepts to diverse stakeholders; strong leadership in mentoring teams and fostering collaboration.

· Analytical and Strategic Thinking: Excellent analytical skills with the ability to quantify business outcomes and develop strategic solutions.

· Adaptability and Innovation: Proactive in staying updated with industry trends and emerging technologies; demonstrates flexibility and willingness to travel as required.

Educational Qualifications:

· Bachelor’s degree in healthcare administration, Business, Computer Science, or related field;

· MBA preferred.

Certifications:

· F-AHM or P-AHM certified in U.S. Healthcare; preferred certifications in at least two areas such as AI technologies, Snowflake, Salesforce, Oracle Healthcare products, or Data Analytics.

Regards,

Vinay Ram

Ram@cysphere.net

770-838-3839 (Direct) 

Desk: 914-764-2127

Suwanee, GA - 30024

www.cysphere.net

An MBE & eVerify Company 

Connect with me for exciting career opportunities: https://www.linkedin.com/in/vinay-kumar-76b4b2104/

Open Jobs (For Recruiters): https://www.dice.com/company/91081414