The Manager, Consulting Services is a hands-on technical leader of a multidisciplinary team with clinical, operational, functional, and technical expertise across Utilization Management, Care Management, Pharmacy Management, and Complaints, Appeals, and Grievances. The manager provides solution direction throughout the customer lifecycle, oversees technical implementation of enterprise care management software, and partners with customers, internal teams, and vendors on integration, interoperability, and AI-enabled capabilities.
The ideal candidate is passionate about developing subject matter experts, driving efficiency, and continuously evolving the team's use of AI — shifting time away from manual execution towards customer engagement, requirements gathering, and solution delivery.
Key Responsibilities
Core accountability: proactively identify risks and dependencies, communicate effectively with stakeholders, and drive successful, on-schedule customer outcomes.
People & Team Leadership
Lead hiring, onboarding, coaching, and performance management; build capacity plans and role coverage.
Develop a high-performing team with deep clinical, technical, and functional expertise; support escalations and ensure consistent delivery.
Set and manage team OKRs/KPIs; drive continuous improvement through retrospectives/RCA and structured upskilling, cross-training, and knowledge-sharing.
Optimize team utilization by aligning capacity with customer priorities and deploying resources where they deliver the greatest value. Support revenue growth by tracking incoming requests, identifying gaps in projected work, and proactively partnering with Sales to generate and advance new customer opportunities when demand is below plan.
AI-Enabled Team Transformation
Identify, evaluate, and implement approved AI-enabled workflows for documentation, analysis, support triage, and testing to improve productivity and delivery quality.
Continuously shift team time away from manual execution and toward higher-value customer engagement, requirements gathering, and solution consulting by leveraging AI to automate routine work.
Ensure compliant use of AI and tools (data privacy, security, auditability); train the team on approved tools and monitor adoption.
Solution Design & Project Delivery
Provide solution direction throughout the customer lifecycle, translating customer requirements into scalable, secure, maintainable technical solutions.
Own project delivery: partner with project managers and customers on implementation plans, technical specifications, deployment strategies, and schedules.
Lead design, documentation, and review of solution architectures and integrations (REST, SOAP, XML, X12, HL7, FHIR) with customer stakeholders and third-party vendors.
Customer & Stakeholder Engagement
Serve as a trusted technical advisor on solution capabilities, best practices, interoperability standards, and emerging technologies.
Participate in customer meetings, establish and manage expectations, and deliver technical presentations throughout the implementation lifecycle.
Technical Troubleshooting & Documentation
Investigate, diagnose, and resolve complex technical, integration, and data issues; manage escalations across internal and external stakeholders.
Produce and maintain accurate technical documentation, including solution designs, interface specifications, and implementation artifacts.
Future-state architectural definition
- Define target-state data and integration architecture using modern patterns — API-first and event-driven/streaming integration, FHIR-native interoperability, and modern data platforms — and produce reference architectures and roadmaps that move customers away from point-to-point, batch-file integration.
Migration execution
- Plan and execute migrations from legacy integrations and data stores to the future-state architecture — including sequencing, data mapping and reconciliation — with minimal disruption to live customer operations.
Required Skills & Qualifications
Experience
3–5 years in Technical Consulting, Solution Consulting, Systems Integration, or Software Implementation within healthcare technology; experience with healthcare payer, care management, or population health solutions preferred.
Technical Skills
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 (SSO, SSL/TLS, OAuth 2.0, OpenID Connect), cloud platforms (AWS preferred), and AI/Generative AI/LLM-enabled technologies.
Professional Skills
Strong analytical, problem-solving, and communication skills; able to translate technical concepts for technical and non-technical audiences.
Proven customer-facing consulting, stakeholder management, and cross-functional collaboration skills; comfortable managing multiple priorities in a fast-paced environment.
Education & Certifications
Bachelor's degree in Computer Science, Information Systems, or related field preferred; equivalent combination of education and experience considered.
Additional Requirements
Must pass background check and drug screening.
Travel up to 30% to client locations.
Hybrid based in Tampa, FL; must work EST hours with flexibility to support customers across all U.S. time zones where necessary.
At MHK we help health plans and pharmacy benefit managers deliver optimal care management across every member’s health journey. We do this through state-of-the-art technology that provides critical insights from member enrollment and maintenance through every stage of care and compliance. We believe that long-term partnerships are built on trust. Our team members are expected to build trusted advisory relationships—with MHK clients and one another—through responsive, transparent communication, while honoring commitments, and tying that trust to outcomes.
Benefits Snapshot:
Medical, vision, and dental plans for full time employees
401(k) offered with a generous match
Generous Paid Time Off and Holiday policy
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
EQUAL OPPORTUNITY EMPLOYER - VETERANS/DISABLED. Always be aware of Recruitment Fraud
Skills Required
- 3-5 years in Technical Consulting, Solution Consulting, Systems Integration, or Software Implementation within healthcare technology
- Strong SQL and relational database skills
- Experience with REST and SOAP web services
- Experience with XML and JSON
- Experience with healthcare interoperability standards (HL7 FHIR, X12, EDI)
- Familiarity with enterprise security (SSO, SSL/TLS, OAuth 2.0, OpenID Connect)
- Familiarity with cloud platforms (AWS preferred)
- Familiarity with AI/Generative AI/LLM-enabled technologies
- Proven customer-facing consulting, stakeholder management, and cross-functional collaboration skills
- Experience with healthcare payer, care management, or population health solutions
- Bachelor's degree in Computer Science, Information Systems, or related field (or equivalent experience)
- Must pass background check and drug screening
- Travel up to 30%
- Hybrid based in Tampa, FL; must work EST hours and be able to support US time zones
Hearst Compensation & Benefits Highlights
The following summarizes recurring compensation and benefits themes identified from responses generated by popular LLMs to common candidate questions about Hearst and has not been reviewed or approved by Hearst.
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Healthcare Strength — Healthcare coverage is described as comprehensive, including medical plan choice, full in-network preventive coverage, dental and vision, telemedicine, prescription coverage, and fertility resources. Mental-health resources and other wellbeing services (e.g., therapy sessions, crisis support, virtual physical therapy, and chronic-condition programs) further strengthen the health offering.
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Retirement Support — Retirement support is positioned as meaningful through a 401(k) plan with company matching and Hearst covering plan administration fees. Performance bonuses are also noted as available in some roles, adding an additional rewards component beyond base pay.
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Leave & Time Off Breadth — Time-off benefits include paid holidays, paid sick days, and vacation time with a commonly cited annual range, alongside paid parental leave and family medical leave. A remote work program and flexibility signals are also included as part of the overall rewards experience.
Hearst Insights
What We Do
Hearst is a leading global, diversified media, information and services company with more than 360 businesses. Its major interests include ownership in cable television networks such as A&E, HISTORY, Lifetime and ESPN; global financial services leader Fitch Group; Hearst Health, a group of medical information and services businesses; transportation assets including CAMP Systems International, a major provider of software-as-a-service solutions for managing maintenance of jets and helicopters; 33 television stations such as WCVB-TV in Boston and KCRA-TV in Sacramento, California, which reach a combined 19 percent of U.S. viewers; newspapers such as the Houston Chronicle, San Francisco Chronicle and Times Union (Albany, New York); more than 300 magazines around the world, including Cosmopolitan, ELLE, Men's Health and Car and Driver, and digital services businesses such as iCrossing and KUBRA; and investments in emerging digital entertainment companies such as Complex Networks.
