Senior Solutions Consultant

This is a fully remote position, open to applicants in United States.

📋 Description

• Collaborate with the Sales team on strategic initiatives related to consumer engagement, intervention planning, outreach, and Health Enablement solutions.

• Lead product demonstrations that highlight member and provider engagement workflows, outreach analytics, and integrated risk and quality engagement strategies.

• Present insights to health plan executives, risk adjustment leaders, quality teams, care management teams, and client stakeholders.

• Conduct discovery sessions to identify customer operational challenges, engagement strategies, outreach gaps, and business objectives.

• Support pilot projects and proof-of-concept initiatives to showcase solution value and operational outcomes.

• Assist in discussions related to pricing, scoping, and positioning of solutions for strategic opportunities.

• Create technical and operational content for RFP responses focused on engagement and outreach.

• Present solutions during finalist presentations, emphasizing operational outcomes, member and provider engagement effectiveness, and integrated risk and quality workflows.

• Aid in determining implementation scopes and level-of-effort estimates for complex engagements.

• Help develop client-facing presentations, value stories, and sales enablement materials.

• Gather customer feedback on product functionalities, workflow gaps, and enhancement priorities.

• Track the competitive landscape regarding engagement, intervention planning, and healthcare activation solutions.

• Convey market trends, client feedback, and operational insights to Product Management.

• Contribute to sales enablement materials, case studies, webinars, and competitive positioning efforts.

• Assist in go-to-market initiatives and launch readiness activities for new engagement capabilities.

• Maintain extensive expertise in member and provider engagement strategies, outreach operations, and intervention planning workflows.

• Comprehend healthcare payer operations related to Risk Adjustment, Quality Improvement, Stars, and care gap closure initiatives.

• Stay updated on market trends concerning healthcare engagement, digital outreach, and population health management.

• Develop and provide training for Sales and Account teams on consumer engagement solution capabilities.

• Act as a subject matter expert during client calls, strategic discussions, and industry engagements.

⛳️ Requirements

• Bachelor’s degree in Healthcare Administration, Business, or a related field.

• 10+ years of experience in healthcare technology, risk adjustment operations, or health plan consulting.

• In-depth knowledge of Medicare Advantage retrospective risk adjustment programs and operations.

• Experience in pre-sales, solution consulting, or customer-facing product roles.

• Strong skills in presentation and demonstration for executive audiences.

• Ability to translate complex technical capabilities into compelling business value propositions.

• Excellent written communication skills for RFP responses and technical documentation.

• Willingness to travel up to 25% for client meetings and industry events.

🏝️ Benefits

• Comprehensive medical, dental, vision, disability, and life insurance coverage.

• 401(k) savings plans.

• Paid family leave.

• 9 paid holidays each year.

• 17-27 days of Paid Time Off (PTO) annually, depending on specific level and tenure with Cotiviti.