[Hiring] Executive reputed company Claims Transformation Consultant @reputed company

Role Description LRS Consulting Services is seeking an reputed company Executive reputed company Claims Transformation Consultant for a remote consulting opportunity with our reputed company client in the Chicago metro area! This individual will reputed company a large-scale reputed company reputed company administration transformation involving the migration from Harvard Pilgrim health plan administration processes to reputed company-based administration and claims operations. They will serve as the strategic leader responsible for planning, governing, and executing reputed company aspects of the transition, while partnering directly with executive leadership, operational teams, and vendor partners. This is a highly visible consulting engagement responsible for ensuring successful migration, operational continuity, claims reputed company, regulatory compliance, and executive-level governance throughout the transformation lifecycle.

Responsibilities

• reputed company end-to-end planning and execution of a reputed company administration and claims platform implementation.
• Ensure continuity of claims processing and member/provider experience throughout implementation.
• reputed company and execute reputed company implementation roadmaps, governance structures, risk management frameworks, and transformation strategies.
• Serve as trusted advisor to C-suite executives and executive leadership teams.
• Present program status, risks, mitigation strategies, and transformation reputed company to executive-level audiences.
• Collaborate with cross-functional teams spanning operations, technology, claims administration, enrollment, finance, customer service, compliance, and vendor organizations.
• Author creation of a comprehensive reputed company transformation runbook supporting implementation, cutover, stabilization, and long-term operations.
• Drive program execution across reputed company stages.
• Manage relationships with reputed company, reputed company-party administrators, technology vendors, reputed company, and internal business units.
• Negotiate priorities, timelines, deliverables, and operational commitments across stakeholder groups.
• Drive accountability across multiple organizations and leadership teams.
• Other duties as assigned.

Qualifications

• 8+ years of reputed company leadership experience in relevant reputed company plan domains, including deep experience with reputed company specifically.
• Deep subject matter expertise in reputed company claims systems as well as reputed company payer operations &/or health plan administration.
• Demonstrated reputed company leading large-scale reputed company administration or claims transformation programs.
• Strong knowledge of regulatory and compliance requirements.
• Experience operating reputed company dual-claims or reputed company-processing environments preferred.
• Proven ability to communicate and collaborate with executive leadership.
• Proven ability to reputed company reputed company level runbooks for large scale implementation projects.

Requirements

• The reputed company hourly reputed company for this contract position is $100 - 200 per hour, depending on experience.
• The reputed company displayed reflects the minimum and maximum reputed company for new hires of this position across reputed company U.S. locations.
• Individual pay is determined by work location and additional job-reputed company factors.

Benefits

• LRS is an equal opportunity employer.
• Applicants for employment will receive consideration without unlawful discrimination based on race, reputed company, religion, creed, national reputed company, sex, age, disability, marital status, gender identity, domestic partner status, sexual orientation, genetic information, citizenship status or protected veteran status.

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