Top Consulting Jobs

Provides client-facing healthcare consulting support through strategic research, data analysis, AI-enabled workflow improvement, process re-engineering, change management, requirements analysis, project planning, and executive presentations. Consultants work with internal and external clients to assess business opportunities, develop recommendations, support technology and AI transformations, validate AI outputs, and contribute to project delivery while completing structured training and mentorship.

Leads actuarial analyses for Medicare Advantage, Part D, Medicaid, ACA, and risk adjustment programs. Develops rates, forecasts, pricing models, actuarial models, and financial analyses; delivers consulting recommendations and insights to payer clients. Designs complex data programs, partners with external stakeholders, and mentors actuarial analysts on project teams.

Lead and facilitate Six Sigma improvement projects across multiple business units, apply data-driven statistical problem solving, define performance metrics, present findings to senior leadership, deploy process trainings, manage idea programs, and support operational excellence for 200-400 FTEs.

Supports third-party healthcare applications by coordinating vulnerability remediation, patching, upgrades, testing, change management, product lifecycle activities, risk remediation, and application performance. Provides product support under ITSM and ITIL processes, develops technical documentation and user aids, collaborates with vendors and technical stakeholders, and contributes to performance improvement and AI-enabled workflow initiatives.

Leads healthcare quality measurement consulting, including analyzing claims and EHR data, developing and implementing CMS quality measures, writing technical specifications, automating calculations, and conducting quantitative analyses. Manages project delivery teams, supports proposals and business development, advises clients on health policy, and mentors technical staff. The role focuses on Medicare and Medicaid payment models, eCQMs, clinical data, and federal quality measurement requirements.

Lead multi-disciplinary teams to implement and operate Medicare and Medicaid value-based payment models. Provide policy consultation, oversee analytics and payment calculations, perform financial and quantitative analyses on claims and eligibility data, mentor staff, and support client relationships and technical assistance for payment model operations.

As an Actuarial Senior Consultant, you'll lead analytics projects, provide insights on healthcare technologies, and mentor actuarial staff.

Lead enterprise-scale healthcare transformation programs including change management, operating-model redesign, AI-enabled transformation, PMO and financial benefit quantification. Advise clients on AI adoption, establish AI governance and delivery standards, manage portfolio financial performance, mitigate project risks, mentor teams, and drive client relationships and new business development.

Serve as a client-facing consultant implementing StepWise rate-management software: gather requirements, design and configure rating algorithms, workflows and UX, develop Excel/SQL solutions, present designs, train users, assist scoping/contracting, and act as a trusted subject-matter advisor to payer clients.