Job Overview
You provide strategic leadership and operational oversight for payer consulting portfolios that bridge technology, regulatory requirements, and core health plan operations. You are accountable for defining payer-focused service offerings, delivery standards, and performance outcomes that improve operational efficiency, compliance, member experience, and financial performance while supporting sustainable business growth. In partnership with client executives and internal delivery leaders, you guide engagements from strategy through execution, overseeing current-state operational assessments, future-state operating model and workflow design, and large-scale technology transformations. These initiatives leverage payer platforms such as core administration and claims processing systems, enrollment and eligibility platforms, care and utilization management tools, provider network systems, and analytics and reporting solutions. Through strong governance, hands-on leadership, mentorship, and cross-functional collaboration, you ensure high-quality delivery at scale, manage delivery and regulatory risk, develop consulting talent, and build trusted, long-term client partnerships with health plan leaders.
Core Responsibilities
Client Delivery & Strategic Engagement
Provide executive oversight and strategic leadership across complex healthcare consulting portfolios, ensuring delivery aligns with client goals, contractual commitments, and regulatory standards.
Serve as Engagement Executive or Strategic Advisor to client leadership, translating enterprise challenges into actionable, outcome-driven plans.
Lead cross-functional teams to deliver high-impact solutions that improve operations, drive transformation, and support long-term client success.
Resolve cross-cutting issues, ensure alignment across stakeholders, and maintain visibility into portfolio performance, risks, and mitigation strategies.
Guide organizational change efforts to support technology adoption and operational sustainability.
Solution Oversight & Transformation Leadership
Oversee assessment, design, and implementation of scalable solutions.
Ensure delivery of scalable, measurable solutions through strategic work planning, quality assurance, and measuring results.
Champion innovation and process improvement by introducing best practices, methodologies, and emerging technologies that support healthcare transformation.
Risk & Compliance Management
Identify systemic risks across the consulting portfolio and lead resolution efforts in partnership with client and internal leadership.
Serve as the executive escalation point for critical delivery issues, ensuring swift resolution and sustaining client relationships.
Maintain oversight of compliance with healthcare regulations, cybersecurity standards, and organizational governance requirements.
Client Enablement & Executive Coaching
Build and maintain trusted advisor relationships with client executives, guiding long-term strategy and fostering client ownership of delivered solutions.
Establish frameworks for knowledge transfer, capability building, and system adoption success post-engagement.
Organizational Alignment & Service Evolution
Align consulting delivery with Tegria’s strategic objectives and service line goals; contribute to operational strategy, capability development, and cross-functional coordination.
Provide market intelligence and client feedback to inform service innovation, strategic investments, and continuous improvement initiatives.
Internal Leadership
Perform formal people-management duties. Administer and document personnel actions including performance evaluations, coaching, discipline, pay changes, and promotions in accordance with Tegria policies and procedures.
Lead and develop high-performing teams; oversee performance, engagement, and succession planning.
Promote a culture of excellence, accountability and respect.
Serve as an executive mentor to rising leaders and subject matter experts.
Manage the P&L of projects, including scoping, pricing, statements of work, costs, payment and risk terms, budget, tracking, forecasting, and management.
Oversee the strategic direction of your service line or practice line
Oversee utilization and allocation of budgets and resources.
Assist executives and senior managing directors in defining organizational goals and strategic plans.
Develop guidelines, processes, and procedures to accomplish objectives and ensure compliance with company and regulatory requirements
Business Development
Manage the P&L of projects, including scoping, pricing, statements of work, costs, payment and risk terms, budget, tracking, forecasting, and management.
Lead strategic pursuits, proposals, and account expansions.
Collaborate with sales, marketing, and solution leaders to position offerings, shape go-to-market strategies, and secure new business.
Represent Tegria at industry events, client executive forums, and thought leadership opportunities
Additional Responsibilities
Perform other duties as assigned in support of Tegria’s mission and growth.
Required Qualifications
Education
Bachelor's degree in a related field or equivalent experience. Master’s degree or MBA preferred.
Certifications
Actively pursuing or maintaining relevant certifications
Experience
Has extensive related experience in healthcare consulting or technology leadership experience, including:
Engagement-executive oversight of multi-million dollar engagements or programs.
Strategic leadership across multiple client portfolios and service lines.
Client relationship management and negotiation.
People management, including coaching, performance evaluation, and staffing.
Budget ownership and P&L accountability.
Strategic planning and solution design.
Business development and proposal development.
Mentorship and professional development of consulting staff.
Knowledge
Expert knowledge of
the organization and functional area(s).
healthcare operations, systems, or digital transformation.
business operations and strategy, particularly within the healthcare sector, understanding market trends and client needs.
Insight into key business drivers and dynamics.
Advanced knowledge of healthcare regulations, interoperability standards, and industry frameworks.
In-depth understanding of consulting methodologies and project management approaches (Agile, Scrum, PMBOK).
Operational understanding of employment laws relevant to people leadership.
Constantly monitors industry trends, technologies, and best practices to ensure Tegria remains a leader.
Broad knowledge of the healthcare IT consulting industry.
Technology
Have reliable internet access and sufficient speed to perform the job satisfactorily.
Skills
Able to:
Negotiate with multiple levels of stakeholders to influence decisions impacting client success and Tegria success.
Represents Tegria effectively in all internal and external interactions.
Provide engagement-executive presence and leadership across multiple, concurrent workstreams.
Align initiatives with business and strategic goals through systems thinking and prioritization.
Demonstrate proficiency in Microsoft Office 365, Teams, project management tools and collaboration platforms.
Demonstrate sound judgment, resilience, and agility in ambiguous or high-pressure environments.
Apply advanced critical thinking and analytical skills to solve complex client problems.
Collaborate across departments and disciplines, influencing outcomes without direct authority.
Communicate effectively across diverse audiences, from technical teams to C-suite executives.
Deliver compelling, polished presentations with confidence and energy.
Prioritize effectively and adjust to shifting demands while maintaining focus and quality.
Foster a culture of engagement, accountability, and excellence.
Lead organizational development and change.
Travel to client sites, industry and company events.
Success Characteristics
People successful in this role:
Lead with integrity and model company values.
Deliver consistent, high-quality work in a remote-first, client-facing environment.
Are accountable, strategic, and proactive problem-solvers.
Build and maintain strong relationships grounded in trust and mutual respect.
Champion continuous improvement and empower others to grow.
Exhibit resilience and adaptability in a dynamic landscape.
Physical and Sensory Demands
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this job. The following requirements represent those typically needed to perform the role successfully.
General Requirements
:
Consistently attend and perform work reliably, including under stress, during emergencies, and when priorities shift. Engage in clear real-time verbal communication via phone, video conferencing, and in person; hear and be heard accurately. Use vision adequate to read screens, documents, and visual cues in meetings. Operate a computer, keyboard, phone, and other standard office technology efficiently. Demonstrate cognitive ability to learn, retain, and apply job-related information; comprehend and follow written policies and procedures. Use reasoning skills to gather information, analyze problems, and draw logical conclusions. Sit for prolonged periods, as typical in office settings; occasionally stoop or bend, such as when setting up equipment.
Travel (if applicable):
Travel by car, bus, plane, or train as needed. Navigate airports, hotels, and client sites independently. Lift, carry, or transport personal luggage up to 50 pounds. Lift, carry, push, or pull up to 15 pounds of equipment within client environments. Move safely within workspaces including offices, conference rooms, clinical areas, and restrooms.
Salary Range
175,000-250,000
Now, a little about us …
At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care.
And at the very core of this vital work is our incredibly talented people.
People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare.
Perks and benefits
Top talent deserves top rewards. We’ve carefully curated a best-in-class benefits package, meant to meet you wherever you are in your life and career.
Your health, holistically.
We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family.
Your financial well-being.
We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more.
And everything in between.
Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and our favorite: a generous paid-time-off program, giving you the flexibility to plan a vacation, take time away for illness (or life’s important events), and shift your schedule to accommodate those unexpected curve balls thrown your way.
Tegria is an equal employment opportunity employer and provides equal employment opportunities (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. All qualified candidates are encouraged to apply.