Healthcare Consultant

Job Description: Senior Healthcare Engagement & Delivery Leader

Location:

Remote / United States

Experience Required:

15+ years

Employment Type:

Full-Time

About the Role

We are seeking a highly accomplished Senior Healthcare Engagement & Delivery Leader with deep expertise in the Payer and Provider ecosystem, digital transformation, and global delivery management. This role will lead large-scale healthcare programs, drive end-to-end business transformation, manage strategic client relationships, and own P&L responsibilities for multimillion-dollar accounts.

The ideal candidate is a visionary leader with a strong track record in BPaaS delivery, healthcare operations, outsourcing strategy, and growth-driven account management across Fortune 500 organizations.

Key Responsibilities

Strategic Leadership & Growth

• Drive business growth, account expansion, and digital transformation initiatives within healthcare payer and provider organizations
• Own and manage P&L for large-scale engagements ($50M–$80M+), ensuring revenue growth and profitability
• Develop and execute go-to-market strategies and transformation roadmaps

Client & Stakeholder Management

• Build and manage C-level stakeholder relationships across Fortune 100 healthcare clients
• Serve as a trusted advisor delivering innovative, customer-centric solutions
• Drive client satisfaction (NPS), retention, and long-term partnerships

Solutioning & Transformation

• Lead end-to-end solution lifecycle including strategy, pricing, value propositions, contract negotiations, and closures
• Design and implement outsourcing and BPaaS solutions across healthcare operations
• Drive intelligent automation, process optimization, and digital innovation initiatives

Delivery & Operational Excellence

• Oversee global delivery teams (800+ resources) across multiple geographies
• Manage end-to-end healthcare operations including:
• Claims processing
• Enrollment & benefits administration
• Provider data management & credentialing
• Appeals & call center operations
• Ensure adherence to SLAs, regulatory compliance (CMS, Medicaid, Medicare), and operational KPIs

Transformation & Innovation

• Lead automation and digitization programs improving efficiency and reducing costs
• Establish and grow Centers of Excellence (CoEs) for healthcare offerings
• Drive compliance with federal and state regulatory changes

Required Skills & Qualifications

• Bachelor’s or Master’s degree in Healthcare, Business, Technology, or related field
• 20+ years of experience in Healthcare (Payer/Provider domain)
• Proven expertise in:
• Healthcare BPaaS & outsourcing models
• Digital transformation & automation
• Solution design & presales
• Contract negotiation & pricing strategy
• Strong experience managing large-scale P&L portfolios ($50M+)
• Deep knowledge of:
• Medicaid, Medicare Advantage, and commercial payer operations
• Claims lifecycle, enrollment, provider lifecycle management
• Demonstrated success in managing global delivery teams and multi-geography operations

Preferred Skills

• Certifications: Six Sigma, AHIMA, or equivalent
• Experience with platforms like Facets, NASCO, HealthEdge, SAP, PeopleSoft
• Exposure to interoperability, CMS audits, and regulatory transformations
• Experience in healthcare automation and AI-driven solutions

Key Competencies

• Strategic thinking and executive leadership
• Strong financial acumen and P&L ownership
• Exceptional communication and negotiation skills
• Customer-centric mindset
• Ability to drive innovation and large-scale transformations
• Cross-cultural team leadership and collaboration

HCL is an equal opportunity employer, committed to providing equal employment opportunities to all applicants and employees regardless of race, religion, sex, color, age, national origin, pregnancy, sexual orientation, physical disability or genetic information, military or veteran status, or any other protected classification, in accordance with federal, state, and/or local law. Should any applicant have concerns about discrimination in the hiring process, they should provide a detailed report of those concerns to secure@hcltech.com for investigation.

A candidate’s pay within the range will depend on their skills, experience, education, and other factors permitted by law. This role may also be eligible for performance-based bonuses subject to company policies. In addition, this role is eligible for the following benefits subject to company policies: medical, dental, vision, pharmacy, life, accidental death & dismemberment, and disability insurance; employee assistance program; 401(k) retirement plan; 10 days of paid time off per year (some positions are eligible for need-based leave with no designated number of leave days per year); and 10 paid holidays per year.