Client Solutions Strategist- Evernorth in United States at Jobgether

This position is listed on behalf of a partner company, who manages all applications and next steps. Our partner is looking for a Client Solutions Strategist – Evernorth based in the United States.

The Client Solutions Strategist will provide strategic consulting and operational expertise to healthcare organizations specializing in home infusion, ambulatory infusion, and specialty pharmacy services. This role focuses on optimizing revenue cycle management, improving reimbursement performance, and strengthening financial and operational outcomes. You will work closely with healthcare executives and cross-functional teams to assess existing processes, identify improvement opportunities, and implement sustainable business solutions. Combining financial analysis, industry knowledge, and technology expertise, you will help clients navigate complex reimbursement challenges and enhance operational efficiency. You will also contribute to system implementations, workflow optimization, and strategic transformation initiatives. This is an excellent opportunity for a healthcare professional who enjoys solving complex business challenges and delivering measurable improvements in a collaborative, client-focused environment.

• Conduct comprehensive revenue cycle assessments to identify operational inefficiencies, reimbursement risks, billing challenges, and opportunities to improve financial performance.

• Analyze financial and operational key performance indicators (KPIs), industry benchmarks, and business trends to develop actionable recommendations and improvement strategies.

• Provide subject matter expertise in healthcare revenue cycle management, particularly infusion reimbursement, payer requirements, billing operations, denial management, and accounts receivable.

• Advise healthcare organizations on revenue cycle optimization, business office operations, reimbursement strategies, and financial performance improvement.

• Design and support process improvement initiatives, including workflow redesign, operational standardization, automation, and implementation of industry best practices.

• Provide revenue cycle expertise during technology implementations, system conversions, and optimization projects, including system configuration, testing, training, and go-live support.

• Support implementations and optimization initiatives involving Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, and other infusion management platforms.

• Collaborate with client leadership and internal cross-functional teams to understand business needs, resolve operational challenges, and implement sustainable solutions.

• Develop comprehensive project deliverables, operational assessments, financial analyses, executive reports, and strategic recommendations to support informed decision-making.

• Monitor industry developments, regulatory changes, reimbursement policies, and emerging technologies to identify opportunities for innovation and operational improvement.

• Build and maintain strong client relationships through strategic guidance, subject matter expertise, and effective communication.

• Contribute to business development activities, advisory service expansion, and industry thought leadership initiatives.

• At least 4 years of professional experience in healthcare revenue cycle management, including a minimum of 2 years in home infusion, ambulatory infusion, specialty pharmacy, or Durable/Home Medical Equipment (DME/HME).

• Strong understanding of healthcare reimbursement methodologies, preferably infusion-related, including payer requirements, billing operations, denial management, and accounts receivable processes.

• Demonstrated experience assessing operational workflows, analyzing financial and performance metrics, and identifying opportunities for process improvement.

• Proven ability to translate complex operational and financial findings into actionable recommendations and sustainable business solutions.

• Strong analytical, problem-solving, project management, and organizational skills.

• Excellent written and verbal communication skills, with the ability to present findings and recommendations to healthcare executives and operational stakeholders.

• Ability to work independently, manage multiple projects and competing priorities, and collaborate effectively with clients and cross-functional teams.

• High school diploma or GED required.

• Bachelor's degree in Business, Healthcare Administration, Finance, or a related discipline preferred.

Preferred qualifications:

• Previous experience providing consulting, advisory, or strategic operational support to healthcare organizations.

• Familiarity with Epic Willow Home Infusion, Epic Resolute Professional Billing, CareTend, or comparable infusion management systems.

• Experience supporting healthcare technology implementations, system conversions, workflow redesign, testing, employee training, and operational optimization.

• Knowledge of Medicare, Medicaid, and commercial payer reimbursement methodologies, as well as managed care contracting.

• Experience preparing executive-level reports, financial models, operational assessments, standard operating procedures, and strategic recommendations.

• Familiarity with healthcare automation, emerging technologies, and revenue cycle performance benchmarking.

• Annual salary: $112,100–$186,800, depending on experience, qualifications, and geographic location.

• Eligibility to participate in an annual performance-based bonus plan.

• Fully remote work opportunity within the United States.

• Comprehensive medical, dental, and vision insurance.

• Well-being and behavioral health support programs.

• 401(k) retirement savings plan.

• Company-paid life insurance.

• Tuition reimbursement and opportunities for continued professional development.

• Minimum of 18 days of paid time off annually.

• Paid holidays and additional leave of absence programs.

• Opportunities to work on strategic healthcare transformation and technology optimization projects.

• Collaborative environment focused on improving healthcare operations and patient outcomes.