Health Plan Managing Consultant

About the role

As a Strategy & Operations Managing Consultant at Impact Advisors, LLC, you will grow your healthcare career in a collaborative, supportive, and inclusive environment. You'll lead a team passionate about improving healthcare and will work closely with clients to optimize and support their claims processing operations.

Responsibilities

• Optimize and support health plan operations by configuring, analyzing, and troubleshooting Epic Tapestry, FACETS, and other core operating systems.
• Maintain data integrity and drive process improvements that enhance accuracy, efficiency, and overall system performance.
• Own all deliverables within an engagement and serve as the primary day-to-day contact with clients.
• Lead initiative teams in driving improvements for clients, demonstrating leadership and the ability to be a player/coach.
• Manage competing priorities with a high level of organization and attention to detail, serving as the final reviewer for deliverables with a thoughtful, diligent, and critical eye.
• Regularly lead client calls, delegating speaking parts as appropriate.

Requirements

• Broad understanding of the three market segments including Individual/Family (Retail), Commercial, and Government-sponsored (Medicare & Medicaid).
• Broad understanding of key business functions within a health plan, including network configuration, claims adjudication, benefit design, and an awareness of ancillary products.
• Experience working with Epic Tapestry and/or FACETS in a healthcare payer or provider environment.
• Proven experience in technical analysis, system configuration, and troubleshooting of claims or related healthcare applications.
• Proven experience developing business requirements, liaising with technical architects and developers, and facilitating planning and implementation processes.
• Familiarity with data integration tools, SQL queries, and interface troubleshooting to support claim data flow and issue resolution.
• Structuring engagement activities, delegating effectively, and coaching junior staff.

Qualifications

• Experienced consultant leader focused on developing strategies to solve complex operational problems for healthcare clients.
• 3–5 years of experience working with Epic Tapestry and/or FACETS in a healthcare payer or provider environment.
• Strong understanding of claims processing workflows, including adjudication, pricing, and downstream system integration.
• Advanced degree (MBA, MHA, MPH) preferred but not required.
• Able to travel up to 80% of the time according to client needs.
• Authorized to work in the US.

Skills

• Strategic thinking and problem-solving skills.
• Excellent communication and interpersonal skills.
• Ability to manage multiple projects and priorities.
• Technical proficiency with Epic Tapestry and FACETS.
• Strong analytical and troubleshooting abilities.

Benefits

The role offers a salary range of $130,000 to $170,000 annually, with potential for an annual discretionary bonus. Additional benefits and perks may also be available, depending on the position and employment terms. This range reflects consideration of various factors, including skills, experience, training, certifications, and organizational needs.

Pay

This role is eligible for an annual performance bonus.

Schedule

Our people and culture emphasize a flexible schedule to accommodate client needs, with up to 80% travel possible.