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Senior Solutions Consultant

Location: Remote
Compensation: To Be Discussed
Reviewed: Tue, Oct 20, 2026
This job expires in: 25 days

Job Summary

Serving as a subject matter expert in risk adjustment, the full-time Senior Solutions Consultant will manage client engagements, provide pre-sales support, and design tailored solutions while working remotely.

Key responsibilities
  • Partner with Sales to assess client needs and demonstrate risk adjustment analytics and workflows
  • Develop technical content for RFP responses and design solution recommendations for prospective and concurrent risk adjustment
  • Monitor market trends and communicate customer needs to Product Management to inform solution enhancements
Required qualifications
  • Bachelor's degree in Healthcare Administration, Business, Health Information Management, or a related field, or equivalent experience
  • 10+ years of relevant experience in risk adjustment, health plan operations, or healthcare consulting
  • Deep knowledge of Medicare Advantage risk adjustment programs and CMS-HCC models
  • Experience in pre-sales or customer-facing consulting roles
  • Strong presentation skills with the ability to convey complex concepts to diverse audiences

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