Consultant

• Create reports, insights, and analytics in support of the division
• Create report and analysis specifications based on business needs
• Provide consultation to users and lead cross-functional teams to address divisional issues
• Produce datasets and reports for analysis using system reporting tools
• Research and assist in analyzing data related to strategic initiatives and broader research needs
• Interface between business and divisional data teams to generate actionable tools for analysis and reporting
• Build customer relationships and deepen understanding of divisional data
• Analyze complex business problems using internal and external data sources to provide insight to decision makers
• Identify and interpret trends and patterns in datasets to locate influences

Analytics and Reporting Consultant

• Define and ensure high-quality measurement practices across Claims
• Serve as a strategic leader and subject matter expert for business and analytics teams
• Provide short-term consulting engagements to course-correct measurement on specific projects
• Serve as a dedicated resource within business and product teams for long-term engagements
• Educate Claims leaders and employees on measurement science
• Translate complex analytical concepts into clear business recommendations
• Present findings, risks, and opportunities to senior leadership
• Build partnerships across Claims, Analytics, Technology, and Finance
• Lead complex measurement engagements involving multiple stakeholders
• Define business objectives, success metrics, assumptions, and measurement approaches
• Ensure analyses are accurate, defensible, and aligned to business objectives
• Identify measurement risks and opportunities affecting decision quality
• Promote consistent measurement standards, frameworks, and best practices
• Design and execute experiments, quasi-experiments, and observational studies
• Apply statistical and causal inference methods to evaluate business initiatives
• Establish baselines, control groups, and success criteria for valid attribution

Lead Consultant, Measurement Science

• Support the strategy, design, growth, and optimization of Medicare Advantage provider Value-Based Care programs and alternative payment models
• Integrate analytical findings, market insights, and business needs to inform VBC program strategy and design
• Evaluate program performance and identify strategic enhancements
• Develop VBC contracting strategies
• Develop VBC contract templates and program documentation
• Create executive-ready recommendations and presentations
• Independently lead complex workstreams and drive recommendations forward

Senior Business Consultant

• Execute and maintain imaging migration readiness and cutover processes
• Partner with imaging, clinical, technical, and site teams to assess workflows and drive improvements
• Guide sites through preparation steps and ensure completion of migration prerequisites
• Validate readiness of imaging data, workflows, PACS/VNA configurations, and modality routines
• Identify risks early and drive resolution
• Identify and recommend automation, tooling, or AI/ML solutions to improve efficiency, accuracy, and clinician experience
• Redesign workflows to drive process automation, scalability, efficiency, and consistency
• Coordinate imaging migration for large-scale EHR implementations, including radiology, cardiology, and other clinical images

Consultant – Image Migration Coordinator

• Leverage strong Tableau skills and healthcare industry knowledge to support clinical and business stakeholders for the IL Commercial HMO and Marketplace
• Provide analytical support and consultancy to internal and external customers
• Provide advisory services to internal and external senior leaders
• Report on and review data using Excel, SQL, Python, and R
• Use Tableau and Power BI storytelling to display outcomes and opportunities
• Gather and document business requirements supporting information-related strategies
• Create and conduct presentations to inform and influence
• Lead functional teams and projects
• Solve complex analytical problems and apply existing solutions from new perspectives

Analytics & Reporting Consultant

• Support Epic PB optimization and other project-based initiatives
• Complete regulatory-related Epic build and updates
• Analyze existing workflows and identify opportunities for improvement
• Troubleshoot PB issues and recommend effective solutions
• Partner with the client IT team while independently managing assigned work
• Provide knowledgeable, hands-on support throughout the engagement
• Help healthcare organizations maximize technology investments, improve care delivery, patient outcomes, and profitability

Senior Consultant – Epic, Professional Billing

• Create reports, insights, and analytics in support of the division
• Create report and analysis specifications based on business needs
• Provide consultation to users and work on cross-functional teams to address divisional issues
• Produce datasets and reports for analysis using system reporting tools
• Perform research and assist in analyzing data related to strategic initiatives and broader research needs
• Interface between the business and divisional data teams to generate actionable tools for analysis and reporting
• Work closely with customers to build relationships
• Develop a deeper understanding of divisional data to meet business needs
• Analyze complex business problems using internal and external data to provide decision-maker insights
• Identify and interpret trends and patterns in datasets to locate influences

Analytics Consultant

• Support Epic Hospital Billing workflow and system configuration optimization
• Complete hands-on Epic build and testing
• Optimize Hospital Billing workqueues and billing edits
• Support denials and Revenue Management Center optimization
• Perform reporting using Reporting Workbench, Radar, and SlicerDicer
• Identify and implement opportunities to leverage Epic native automation capabilities within Hospital Billing
• Help healthcare organization clients maximize EHR technology investments and improve care delivery, patient outcomes, and profitability

Senior Consultant – Epic, Hospital Billing

• Review clinical information and apply evidence-based criteria to make coverage recommendations
• Collaborate with healthcare providers and internal teams to support quality patient outcomes
• Identify opportunities for care coordination and member support programs
• Promote effective healthcare utilization and contribute to high-quality service delivery
• Manage multiple systems and priorities in a fast-paced, team-oriented environment
• Support members in navigating their healthcare journey
• Work scheduled shifts that may include evenings, weekends, and holidays as part of a 24/7 operation

Utilization Management Nurse Consultant

• Support Epic Revenue Cycle workflow and system configuration optimization
• Complete and/or develop specifications for Epic build and testing activities
• Optimize Real-Time Eligibility (RTE), including query chaining, benefit filing, and plan mapping
• Support ASA table / Auto Status Assignment optimization for referrals
• Assist with registration, authorization, and front-end workflow enhancements and automation
• Optimize patient and referral workqueues and related Revenue Cycle processes
• Partner with client IT teams to support implementation and testing
• Help healthcare clients maximize EHR technology investments, improve care delivery, patient outcomes, and profitability

Consultant jobs in Illinois