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Hearst Health

Director, Professional Services – Business Consulting

Hearst Health

. Lead MHK's Business Consulting, Technical Consulting, and Configuration Practice teams across Utilization Management, Care Management, Pharmacy Management, and Complaints, Appeals & Grievances .

Posted 9/29/2026full-timeTampa • Florida • United StatesLeadWebsite

Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates extensive experience in leading technical consulting teams within healthcare technology, focusing on performance management, client delivery quality, and operational excellence. Proficient in SQL, healthcare interoperability standards, and cloud platforms, with a strong emphasis on driving AI adoption and compliance.

Highest-signal resume keywords
Technical Consulting LeadershipHealthcare Technology ExpertiseSQL and Relational Database SkillsAI Adoption and ImplementationP&L Management and Revenue Targets

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills
SQLREST/SOAP Web ServicesXML/JSONHL7 FHIRX12EDIEnterprise SecurityCloud PlatformsCare Management ConfigurationAI/Generative AI Technologies
Soft Skills
People LeadershipAnalytical SkillsProblem-Solving SkillsCommunication SkillsChange Management
Tools & Technologies
AWSSingle Sign-On (SSO)SSL/TLSOAuth 2.0OpenID Connect
Industry Keywords
Utilization ManagementCare ManagementPharmacy ManagementComplaintsAppealsGrievancesHealthcare PayerPopulation HealthProfessional ServicesQuality Assurance

Tech Stack

Tools & technologies
AWSCloudSOAPSQL

About the role

Key responsibilities & impact
  • Lead MHK's Business Consulting, Technical Consulting, and Configuration Practice teams across Utilization Management, Care Management, Pharmacy Management, and Complaints, Appeals & Grievances
  • Own hiring, onboarding, coaching, performance management, capacity planning, and role coverage
  • Transform the organization and processes into a high-performing consulting function
  • Set and manage OKRs/KPIs and drive continuous improvement through retrospectives, root-cause analysis, upskilling, cross-training, and knowledge-sharing
  • Own the functional-plus-technical cross-training program and curriculum
  • Own consulting services revenue and billable utilization targets; forecast, track, and report monthly performance
  • Manage staffing and allocation to sustain healthy utilization
  • Partner with Sales, Account Management, and Delivery on scoping, SOWs, and staffing models
  • Own the Consulting QA SOP and drive QA-SOP compliance through governance audits and coaching
  • Extend QA governance to a Technical QA SOP
  • Establish and enforce delivery standards, playbooks, and reusable configuration assets
  • Provide solution direction throughout the customer lifecycle
  • Translate customer requirements into scalable, secure, maintainable configurations and technical solutions
  • Serve as a senior technical advisor to customers and lead key customer meetings
  • Operationalize Product-to-Professional-Services hand-off playbooks
  • Identify, evaluate, and deploy approved AI-assisted tooling for repetitive delivery work
  • Ensure compliant AI and tooling use, train the team, and monitor adoption
  • Own consulting organization employee-engagement results and execute action plans

Requirements

What you’ll need
  • 7+ years in technical/solution consulting, systems integration, or software implementation in healthcare technology
  • 3+ years leading and developing teams
  • Healthcare payer, care management, or population health experience strongly preferred
  • Demonstrated ownership of a professional-services P&L or utilization/revenue targets
  • Demonstrated ownership of client-facing delivery quality at scale
  • Strong SQL and relational database skills
  • Experience with REST/SOAP web services, XML/JSON, and healthcare interoperability standards (HL7 FHIR, X12, EDI)
  • Familiarity with enterprise security, including SSO, SSL/TLS, OAuth 2.0, and OpenID Connect
  • Familiarity with cloud platforms; AWS preferred
  • Familiarity with AI/Generative AI/LLM-enabled technologies applied to delivery work
  • Working knowledge of enterprise care management configuration across UM, CM, Pharmacy, and CAG
  • Proven people leadership, including hiring, coaching, performance management, and building SME depth
  • Strong analytical, problem-solving, and communication skills
  • Ability to translate technical concepts for technical and non-technical audiences
  • Ability to represent MHK credibly to senior client stakeholders
  • Track record of establishing standards, QA discipline, and repeatable delivery playbooks
  • Track record of driving change, including AI adoption, across a team
  • Bachelor's degree in Computer Science, Information Systems, a healthcare field, or related discipline preferred; equivalent combination of education and experience considered
  • Must pass a background check and drug screening
  • Based in Tampa, FL
  • Must work EST hours with flexibility to support customers across all U.S. time zones
  • Up to 30% travel to client locations

Benefits

Comp & perks
  • Medical, vision, and dental plans for full time employees
  • 401(k) offered with a generous match
  • Benefits begin on first day of the month following employment
  • Exercise/Health Club reimbursement opportunity
  • Monthly dependent care reimbursement opportunity
  • Short Term and Long-Term disability
  • Basic Term Life and AD&D Insurance
  • Generous Paid Time Off and Holiday Schedule