Healthcare Subject Matter Expert - Payer
Description
We are seeking a Healthcare Subject Matter Expert (SME)
- Payer who brings deep expertise in payer-domain operations and processes. This individual will play a critical role in evaluating and analyzing current-state workflows across key functions such as claims, provider operations, member services, utilization management, care management, and finance.
Ideal candidate will possess deep healthcare payer knowledge, including a thorough understanding of regulatory requirements, operational workflows, and industry best practices. They will have a proven track record of conducting comprehensive process assessments, validating accuracy and completeness, and delivering actionable insights that support strategic decision-making. This is an opportunity to leverage your domain expertise to influence enterprise-level improvements and shape the future of healthcare operations.
This position is located in our client office in Canton, MA (Hybrid)
Skills:
Business Analysis, Business Process Modelling, Health Care Payers