Consulting- AI & Digital
United States
Description
Principal Consultant, Healthcare BPO Transformation
Wanted: dynamic and creative individuals ready to connect with a like-minded team. You’ll enjoy all the autonomy you need to help our clients make their digital infrastructure faster and more effective. Free reign for free spirits doesn’t mean you’ve got to go it alone. Over 1400 teammates from around the globe are eager to help you out when things get down to wire. Their expertise will put you on the winning path and keep you there.
Position Overview
ISG is looking for a Principal Consultant, Healthcare BPO Transformation. The Principal Consultant’s responsibility includes leading large and complex engagements to help assess, design, and execute strategy for sourcing transactions and operational improvement projects related to sourcing agreements. The Principal Consultant will be responsible for overall delivery and client satisfaction, project status management and reporting, recommendation and implementation approach development, implementation management, identifying and selling additional value-add work for clients, and supporting sales opportunities.
We are looking for a consultant that is able to effectively advise health systems, physician groups, and other provider organizations on operating model design, sourcing strategy, technology-enabled transformation, and operational improvement across the full revenue cycle. The ideal candidate brings Revenue Cycle Management experience and agility to lead adjacent healthcare operations and BPO engagements in areas such as utilization management, claims, prior authorization, and payer operations.
Responsibilities
- Lead healthcare operations and BPO consulting advisory, sourcing, and transformation engagements spanning Revenue Cycle Management, Utilization Management, and Insurance/ Payer operations from current state assessment through solution design, vendor evaluation, contracting and negotiations, and transition support
- Bring functional expertise in Revenue Cycle Management with the agility to advise clients in adjacent areas such as Utilization Management, claims operations, prior authorization, payer administration, and other healthcare business process outsourcing functions
- Partner with executive and operational stakeholders to identify performance improvement opportunities, redesign workflows, define target operating models, and deliver measurable outcomes in cost, quality, service levels, and operational efficiency
- Leads complex healthcare operations transformation, outsourcing, and managed services engagements, with the ability to quickly ramp into adjacent domains and advise clients with credibility
- Supports business development, sales pursuits, and the development of internal intellectual property
- Understands how AI and Agentic AI solutions can be implemented to improve business processes and operating models
- Builds strong relationships with senior client and service provider executives and communicates effectively across key stakeholders
- Independently develops project work plans and customizes to meet client specifications as well as estimates staffing, task duration, and client staffing requirements
- Develops medium to large complex financial models and possesses a thorough knowledge of budgets, the budgeting process, and corporate finance for large or geographically global dispersed clients
- Oversees or develops the financial, statement of work, service level and contract terms portions of the RFP, for outsourcing related clients
- Evaluates service provider proposals, identifies strengths and risks, and helps guide recommendations aligned to client objectives
- Contributes to both client delivery and internal firm initiatives, including intellectual property development and sales support
Required Skillsets
- This is a remote position based in the US
- Travel may be necessary and can be up to 50%
- 5 to 15 years of recent experiences in several roles including, healthcare operations consulting, outsourcing agreements, revenue cycle management, and related business process technologies, sales support and service delivery management
- Experience working for an outsourcing service provider or advisory services firm is a plus
- Prior experience with consulting engagements or with large consulting firm is a plus
- Prior experience of “hands on” sourcing consulting experience developing complex operation solutions with executive teams and coaching and advising executive
- Significant delivery management experience, including managing teams at all project phases, exemplary track record in successful client relationship management and multi-project oversight is a plus
- Knowledge of sourcing contract terms and conditions
- Thorough understanding of global corporate financial practices and goals - including drivers of process costs, ability to work with internal business owners and/or service providers to ensure effective cost solutions and agreed upon service level agreements
- Experience in proposal writing and sales support
- Strong understanding of capabilities for outsourcing service providers in the Healthcare BPO market
- Team development and management experience, relationship management, mentoring and utilization management
- Expert presentation, verbal and written communication skills with the ability to articulate complex ideas in easy-to-understand business terms to all levels of management
- Demonstrates working knowledge with MS-Office suite of software applications and tools, including: Microsoft Word, Excel, PowerPoint, and Project, MS-Outlook, MS TEAMS
- Expert project management skills are required and PMP certification is a plus
Education
- Bachelor of Arts or Science degree
- MBA/MS or other advanced degree(s) desirable
At ISG, we don’t just accept difference — we celebrate it, we support it, and we thrive on it for the benefit of our employees, our clients, and our communities. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. ISG is proud to be an equal opportunity workplace and we are committed to creating an inclusive environment for all employees. The more diverse and inclusive we are, the better our work will be.
The duties and responsibilities described in this job description may not be a comprehensive list. Additional tasks may be assigned to the employee from time to time and/or the scope of the job may change as necessitated by business demands.
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