Business Consultant

Job Summary

Working remotely from the greater Baltimore metropolitan area, the full-time Business Consultant will provide expertise in appeals and grievances for government programs, collaborating with cross-functional teams to enhance operational performance and ensure regulatory compliance.

Key responsibilities

• Act as a liaison for interdepartmental collaboration on appeals and grievances, contributing to strategic initiatives and process improvements
• Design and manage dashboards for effective communication and track action items related to appeals and grievances audits
• Develop and update policies and standard operating procedures for Medicaid and Medicare Advantage, ensuring compliance with regulations

Required qualifications

• Bachelor's Degree or 4 additional years of relevant work experience in lieu of a degree
• 5 years of experience in business development, operational technology support, or consulting
• Direct experience with appeals and grievances for government programs in a payor organization is preferred
• Proficiency in MS Office, particularly Excel, PowerPoint, and Word
• Exceptional project management and organizational skills