Healthcare Operations Strategy Consultant
HealthEdge · Posted Apr 29, 2026
- Remote, United States
- Remote
- Full-time · Senior
- $135K–$155K per year
- 5+ years
Leads operations strategy and service design for Core Administration Business Process as a Service (BPaaS) programs, shaping future-state operating models and guiding modernization strategy for health plans.
Compensation
The annual US base salary range for this position is $135,000 to $155,000.
Responsibilities
- Lead service model design and solution blueprinting for health plan Core Administration transformation initiatives
- Assess current-state operations on legacy platforms and define transition pathways to BPaaS delivery models
- Design future-state operating models spanning claims, enrollment, billing, provider relations, UM, A&G, benefits administration, and member operations
- Define how BPaaS service layers connect across the health plan ecosystem
- Identify opportunities to embed automation, AI-enabled workflows, and intelligent process orchestration into operational service models
Requirements
- Not specified
- Nice to have: Migrations from legacy platforms to modern SaaS or BPaaS delivery models
- Nice to have: AI/ML
- Nice to have: Intelligent automation
- Nice to have: Digital operations transformation