[Remote] Healthcare Consultant

Note: The job is a remote job and is open to candidates in USA. HCLTech is seeking a highly accomplished Senior Healthcare Engagement & Delivery Leader with deep expertise in the Payer and Provider ecosystem, digital transformation, and global delivery management. This role will lead large-scale healthcare programs, drive end-to-end business transformation, manage strategic client relationships, and own P&L responsibilities for multimillion-dollar accounts.ResponsibilitiesDrive business growth, account expansion, and digital transformation initiatives within healthcare payer and provider organizationsOwn and manage P&L for large-scale engagements ($50M–$80M+), ensuring revenue growth and profitabilityDevelop and execute go-to-market strategies and transformation roadmapsBuild and manage C-level stakeholder relationships across Fortune 100 healthcare clientsServe as a trusted advisor delivering innovative, customer-centric solutionsDrive client satisfaction (NPS), retention, and long-term partnershipsLead end-to-end solution lifecycle including strategy, pricing, value propositions, contract negotiations, and closuresDesign and implement outsourcing and BPaaS solutions across healthcare operationsDrive intelligent automation, process optimization, and digital innovation initiativesOversee global delivery teams (800+ resources) across multiple geographiesManage end-to-end healthcare operations including: Claims processing, Enrollment & benefits administration, Provider data management & credentialing, Appeals & call center operationsEnsure adherence to SLAs, regulatory compliance (CMS, Medicaid, Medicare), and operational KPIsLead automation and digitization programs improving efficiency and reducing costsEstablish and grow Centers of Excellence (CoEs) for healthcare offeringsDrive compliance with federal and state regulatory changesSkillsBachelor's or Master's degree in Healthcare, Business, Technology, or related field20+ years of experience in Healthcare (Payer/Provider domain)Proven expertise in: Healthcare BPaaS & outsourcing models, Digital transformation & automation, Solution design & presales, Contract negotiation & pricing strategyStrong experience managing large-scale P&L portfolios ($50M+)Deep knowledge of: Medicaid, Medicare Advantage, and commercial payer operations, Claims lifecycle, enrollment, provider lifecycle managementDemonstrated success in managing global delivery teams and multi-geography operationsCertifications: Six Sigma, AHIMA, or equivalentExperience with platforms like Facets, NASCO, HealthEdge, SAP, PeopleSoftExposure to interoperability, CMS audits, and regulatory transformationsExperience in healthcare automation and AI-driven solutionsBenefitsPerformance-based bonuses subject to company policiesMedical, dental, vision, pharmacy, life, accidental death & dismemberment, and disability insuranceEmployee assistance program401(k) retirement plan10 days of paid time off per year (some positions are eligible for need-based leave with no designated number of leave days per year)10 paid holidays per yearCompany OverviewHCLTech is a global IT company offering digital, engineering, and cloud solutions partnering with businesses for transformation. It was founded in 1976, and is headquartered in Noida, Uttar Pradesh, IND, with a workforce of 10001+ employees. Its website is https://www.hcltech.com/.Company H1B SponsorshipHCLTech has a track record of offering H1B sponsorships, with 243 in 2026, 2972 in 2025, 3974 in 2024, 3649 in 2023, 3861 in 2022, 4093 in 2021, 4317 in 2020. Please note that this does not guarantee sponsorship for this specific role.