Senior PHM Consultant

Great companies need great teams to propel their operations. Join the group that solves business challenges and enhances the way we work and grow. Working at Gainwell carries its rewards. You’ll have an incredible opportunity to grow your career in a company that values your contributions and puts a premium on work flexibility, learning, and career development. 

Summary

This is an internal consulting generalist role that will put solid business process analysis skills to use on a fast-based team that is developing an unprecedented new service for population health management. The role will be focused on a large engagement to support Medi-Cal beneficiaries for the state of California to start and could expand to other clients.

Your role in our mission

• Analyzes and documents client's business requirements and processes and communicates these requirements by constructing conceptual data and process models, including data dictionaries and volume estimates from organization.
• Leads projects to resolve open challenges, researching, scoping and defining the challenge, and developing options for the project with clear analysis on the implications of each option.
• Provides input into developing and modifying systems to meet client needs and develops business specifications to support these modifications.
• Plans and facilitates research on client needs, including literature reviews, focus groups, surveys, and interviews
• Plans, designs and recommends business solutions to improve and support the Population Health Management solution.
• Supports development of Population Health Management Service roadmap and supporting business and technical architecture.
• Facilitates meetings with clients to gather and document requirements and explore potential solutions.
• Assists in coordinating business analyst tasks on information technology projects and provide support to other team members.
• Assists in analyzing testing results in all phases.
• Participates in technical reviews and inspections to verify 'intent of change' is carried out through the entire project.
• Assists with developing the methods and procedures required to identify whether current business goals and objectives meet organizational needs.
• Assisting with the management of vendor relations
• Utilizes performance improvement methodologies and organizational change management methodologies to address gaps in performance, technology needs, regulations, etc. 
• Identifies any deviations from the plan by proactively identifying issues and risks 

What we're looking for

• Bachelor's degree or equivalent combination of education and experience.
• Pursuing advanced degree or in pursuit of adv degree and approximately 3-7 years of prior relevant work experience  
• Experience working with health care and the interface of information technology with functional groups within an organization.
• Experience working with data analytics.
• Experience working with design concepts and basic language.
• A strong grasp of Medicaid and supporting systems in California
• A collaborative approach to work, and the motivation to develop your skills by taking ownership of new challenges 
• Excellent presentation skills, and the ability to communicate complex technical concepts simply and effectively to all audiences 
• Ability to identify and communicate efficiently the different components of an analysis or conceptual structure of a problem or situation 
• Ability to conceptualize components of a business issue to aid in the analysis and definition of solutions 
• Strong leadership skills and a desire to build cutting-edge solutions 
• Ability to take initiative and drive execution with minimal supervision 
• Work experience within healthcare or consulting 
• Ability to use Microsoft Suite programs 
• Exposure to one of more of the following:  
  • Healthcare knowledge at either payer or provider level 
  • Technical knowledge in business applications (Microsoft Office, Tableau) and healthcare applications preferred (Epic, Cerner) 

What you should expect in this role

• Onsite work in Sacramento, CA, or remote with willingness to travel to Sacramento and other sites in CA 20-30% of time is required.

The deadline to submit applications for this posting is January 13, 2025.

The pay range for this position is $86,300.00 - $123,300.00 per year, however, the base pay offered may vary depending on geographic region, internal equity, job-related knowledge, skills, and experience among other factors. Put your passion to work at Gainwell. You’ll have the opportunity to grow your career in a company that values work flexibility, learning, and career development. All salaried, full-time candidates are eligible for our generous, flexible vacation policy, a 401(k) employer match, comprehensive health benefits, and educational assistance. We also have a variety of leadership and technical development academies to help build your skills and capabilities.

We believe nothing is impossible when you bring together people who care deeply about making healthcare work better for everyone. Build your career with Gainwell, an industry leader. You’ll be joining a company where collaboration, innovation, and inclusion fuel our growth. Learn more about Gainwell at our company website and visit our Careers site for all available job role openings.

Gainwell Technologies is committed to a diverse, equitable, and inclusive workplace. We are proud to be an Equal Opportunity Employer, where all qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical condition), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. We celebrate diversity and are dedicated to creating an inclusive environment for all employees.