Manager, Business Consulting at MEDHOK, INC in Tampa, Florida

Job Description:

The Manager, Business Consulting, will lead a team with clinical and technical experience that drives the success of customer implementation and production support to ensure expectations are met and ensures continued customer satisfaction. The Business Consulting Manager also serves as the Solutions group’s interface to customer operations which includes implementation, production support, development, configuration, quality assurance, product documentation, compliance, and other internal departments. The Business Consulting Manager provides guidance and leadership direction throughout the customer lifecycle to ensure a consistent customer experience and to maintain the integrity of the broader MHK platform. The ideal candidate has the passion and desire to create highly satisfied customers, improve the product line, advance their own knowledge, and help remove impediments so the team can consistently move forward.  

Key Responsibilities:

• Manage a team of subject matter experts (SME) for the CareProminence Platform


• Develop high performing team members that have expertise in assigned MHK Business Consulting client implementation and production support of the CareProminence Platform as well as be a SME.


• Collaborate with appropriate leaders across MHK to ensure that our solutions meet the needs of all business segments.


• Participate in customer meetings, understanding detailed customer requirements and working to establish and meet customer expectations.


• Support new and existing clients to achieve efficiencies, accreditation, and regulatory compliance by utilizing the product as designed.


• Support department VP and other MHK Leaders to plan, manage, and accomplish multiple tasks and assignments to meet required deadlines.


• Provide product guidance and approval as required by the release management process.


• Ability to adapt to competing demands, take on new responsibilities, and adjust plans to meet changing priorities.


• Maintain positive, constructive approach to problem solving internally and during customer interactions with focus on timely and accurate issue resolution.


• Remain current with Federal and State regulatory compliance associated with each Solution such as CMS, NCQA, URAC


• Maintain accurate module configuration Model of Excellence workbooks, Support training team initiatives such as review of user guides to ensure they accurately reflect MHK internal environment. 


• Manage customer-specific configuration work that is received via implementation and Production Support. 


• Responsibilities may not only include all the above as the individual will work with Directors and VPs for other work that may require other responsibilities.

Education, Training and Experience:

• Three (3) years of professional experience within a health plan and managed care required. 


• 1-3 years Utilization Management/Care Management, Complaints, Appeals, Grievances Management and/or Pharmacy Management experience.


• Prior experience leading and managing a team is required. 


• Previous experience translating business requirements into system configuration preferred.


• Previous “Scrum” based product development experience in SaaS environment preferred, including hands-on active participation in production support, implementations, and projects.


• Previous experience performing detailed market, competitive, customer needs and software product feature analysis preferred.


• Previous experience defining, building, and executing test cases preferred.


• Experience working with/knowledge of CMS, NCQA and/or URAC or other Health Plan accreditation and regulatory compliance preferred.


• Experience presenting and communicating with all levels of organizations.


• Excellent written, verbal communication and interpersonal skills


• Proficient with Word, Power Point, Excel, Visio and Document Management.  Jira experience is a plus.

Additional Requirements:

• Up to 30% travel to clients may be necessary (as needed) and to Tampa Corporate office. 


• Ability to sit for extended periods of time. 


• Ability to work in multiple time zones (EST, CST and PST)

MHK, part of the Hearst Health network, improves compliance, efficiency, and quality for health plans, pharmacy benefit managers, and other managed care organizations. We do this by bringing care and knowledge together throughout every member’s care journey. Our vision, and the solutions we’ve built to deliver it, has rapidly become the industry standard. We manage tens of millions of lives through some of the most prominent players in healthcare, including 3 of the top 5 and 7 of the top 10 health plans in the country. 

COMMITMENT TO DIVERSITY & INCLUSION

We are committed to cultivating and preserving a culture of inclusion and connectedness through collaboration. We grow and learn better together with a diverse team of employees. We welcome the unique contributions and the different perspectives of a diverse team.  We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status.

If you need a reasonable accommodation for any part of the employment process, please contact us by email at careers@mhk.com and let us know the nature of your request and your contact information. Requests for accommodation will be considered on a case-by-case basis. Please note that only inquiries concerning a request for reasonable accommodation will be responded to from this email address. 

For more information, please visit Know Your Rights, Pay Transparency, and MHK EEO/AA Statement 

Benefits Snapshot:

• 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 

Paid Time Off

• 15 days Paid Time Off  


• 13 Company Paid Holidays  


• 3 Personal Days  


• 2 Community Service days