Senior Manager for Industry Solutions

About the role

Join our AI & Engineering team in transforming technology platforms, driving innovation, and helping make a significant impact on our clients' success. You'll work alongside talented professionals reimagining and re-engineering operations and processes that are critical to businesses. Your contributions can help clients improve financial performance, accelerate new digital ventures, and fuel growth through innovation. AI & Engineering leverages cutting-edge engineering capabilities to build, deploy, and operate integrated/verticalized sector solutions in software, data, AI, network, and hybrid cloud infrastructure. These solutions are powered by engineering for business advantage, transforming mission-critical operations. We enable clients to stay ahead with the latest advancements by transforming engineering teams and modernizing technology & data platforms. Our delivery models are tailored to meet each client's unique requirements. Recruiting for this role ends on 09/30/2026.

Responsibilities

• As a Senior Manager on the Industry Solutions team, you will be responsible for helping health plan clients transform core administration, operations, and service delivery capabilities.
• Lead workstreams or full engagements focused on health plan operations transformation, including core administration, pharmacy operations, and operating model redesign.
• Assess and redesign end-to-end processes across claims, enrollment, billing, customer service, utilization management, care management, and pharmacy or pharmacy benefit manager operations.
• Translate business needs into transformation roadmaps, service delivery models, process improvements, and implementation plans aligned to client priorities.
• Manage day-to-day delivery, team performance, quality of work product, and client stakeholder communication across complex transformation programs.
• Support business development, proposal development, thought leadership, and go-to-market initiatives, while mentoring junior practitioners across project delivery and client service.

Qualifications

Required:

• Bachelor's degree and 8+ years of experience in health care, health plan operations, or consulting.
• 7+ years of experience implementing or configuring core administration platforms such as Facets, QNXT, HealthRules, or custom-developed core administration systems.
• Experience with configuration or functional design across claims adjudication, enrollment, billing, and benefits setup.
• Experience leading process redesign, operating model transformation, or large-scale business transformation initiatives for health plan organizations, including management of project delivery, workstreams, or cross-functional teams.
• Experience developing client deliverables using Microsoft Excel and Microsoft PowerPoint.
• Ability to travel 50%, on average, based on the work you do and the clients and industries/sectors you serve.
• Limited immigration sponsorship may be available.

Preferred:

• Master's degree in Business Administration, Master of Health Administration, or similar field.
• Experience supporting health plan clients across claims, enrollment, billing, service operations, care management, or utilization management.
• Experience with health plan technology such as application programming interface-enabled core administration, cloud migration, legacy-to-software as a service transitions, HealthEdge, FACETS, Tapestry, or custom solutions.
• Experience delivering health plan implementations, including product launches, Affordable Care Act, Medicare, or Medicaid compliance builds, or platform migrations.
• Experience contributing to business development, proposal development, or thought leadership.
• Experience working with senior client stakeholders.

Skills

• Ability to work independently and collaborate as part of a team.
• Effective written and verbal communication skills.
• Meticulous attention to detail and quality of work product.
• Ability to build and sustain professional relationships.
• Ability to lead projects or workstreams.
• Ability to manage and prioritize multiple tasks in a fast-paced and dynamic environment.
• Strong interpersonal skills and professional demeanor.
• Ability to meet deadlines.
• Ability to mentor and provide clear guidance to others.

Pay

The wage range for this role is $189,200 to $372,900. You may also be eligible to participate in a