Job Description
Senior Consultant
Remote
Job Summary –
The Senior Consultant is responsible for the delivery of consulting services to customers who are migrating to the Mphasis Javelina platform/s or are utilizing the platform to support their Healthcare Payer operations. This individual, through depth of knowledge about the Mphasis Javelina platform, payer operations best practices and the client’s business objectives, works to develop individualized product utilization and process-rich strategies with the client.
Years of experience needed –
8 + Years for experience
Technical Skills:
Operational knowledge of claims administration, membership, providers, benefits, premium billing, medical terms, pricing logic, etc.
Detailed business knowledge of the business fundamentals of Health Plans and TPAs.
Minimum of 10-year experience in the implementation of core administrative platforms and associated back-office services including claims processing
Proven record of client involvement and interactions with clients in a positive, professional and tactful manner.
Strict attention to detail and adherence to project governance process
Ability to clearly explain complex topics.
Understanding of product development methodologies and processes, strong communication skills, and effective presentation skills.
Ability to perform reasoning to enable planning and tracking of complex implementation projects.
Business or technical college degree or equivalent work experience.
Travel to client location upon request
Certifications Needed:
Not specified
About Mphasis
Mphasis applies next-generation technology to help enterprises transform businesses globally. Customer centricity is foundational to Mphasis and is reflected in the Mphasis’ Front2Back™ Transformation approach. Front2Back™ uses the exponential power of cloud and cognitive to provide hyper-personalized (C=X2C2TM=1) digital experience to clients and their end customers. Mphasis’ Service Transformation approach helps ‘shrink the core’ through the application of digital technologies across legacy environments within an enterprise, enabling businesses to stay ahead in a changing world. Mphasis’ core reference architectures and tools, speed and innovation with domain expertise and specialization are key to building strong relationships with marquee clients.
Skills
PRIMARY COMPETENCY : Domain knowledge PRIMARY SKILL : Healthcare PRIMARY SKILL PERCENTAGE : 51 SECONDARY COMPETENCY : Healthcare SECONDARY SKILL : Healthcare-Healthcare Payer Knowledge SECONDARY SKILL PERCENTAGE : 49
Equal opportunity Employer:
Mphasis is an equal opportunity/affirmative action employer. We provide equal employment opportunities to applicants and existing associates and evaluate qualified candidates without regard to race, gender, national origin, ancestry, age, color, religious creed, marital status, genetic information, sexual orientation, gender identity, gender expression, sex (including pregnancy, breast feeding and related medical conditions), mental or physical disability, medical conditions military and veteran status or any other status or condition protected by applicable federal, state, or local laws, governmental regulations and executive orders.