MCG Health

• Own your work end-to-end. • Talk to users — and do it well. • Make UX and design calls on small-to-medium decisions independently. • Instrument the work you ship. • Build full-stack: services and APIs in C# / ASP.NET Core, data in SQL Server and Cosmos DB, async messaging via Azure Service Bus, deployed on Azure. • Ship with AI tools as primary accelerators. • Build LLM-powered features into the product where they solve a user problem better than deterministic code. • Hold the engineering bar.

• Serve as MCG’s principal subject matter expert and escalation authority for payer workflows, interoperability, integration architecture, and healthcare data flows across customer implementations and internal initiatives • Lead complex workflow discovery and implementation advisory engagements to define integration strategies, clarify operational requirements, and guide solution design within diverse payer environments • Advise implementation teams and customers on how MCG solutions integrate into complex payer operational and technical ecosystems • Identify and resolve highly complex workflow, interoperability, and integration risks, gaps, dependencies, and implementation challenges, recommending scalable mitigation strategies and alternative approaches where standard solutions are insufficient • Partner cross-functionally with Product, Engineering, Implementation, Sales, and customer stakeholders to align solution design, integration strategy, technical dependencies, and implementation execution • Translate complex operational and technical concepts into clear, actionable guidance for technical teams, business stakeholders, and customers • Facilitate working sessions with internal teams and customers to align on workflows, integration points, data dependencies, interoperability considerations, and implementation approaches • Establish and evolve scalable implementation frameworks, standards, reusable assets, workflow models, and best practices • Analyze implementation trends and recurring workflow or interoperability challenges to identify opportunities for process improvement, scalability, and operational efficiency • Provide expert consultation and real-time workflow and integration guidance during customer engagements

• Draft, review, negotiate, and manage complex and custom commercial agreements, including partnership agreements, API integrations, SaaS agreements, amendments, and related documents. • Partner closely with the Legal and Product and Partnership leadership, including the VP, Product – Health AI, to structure and support strategic partnership agreements. • Lead the structure and negotiation of high-complexity, high-visibility agreements supporting strategic partnerships and business initiatives. • Define and evolve contracting strategies for partnership, technology integration, and other commercial agreements. • Define and translate complex business objectives into effective contract structures and negotiation strategies. • Advise stakeholders on deal structure, contractual risk, and commercial terms to support informed decision-making. • Partner with cross-functional teams including Business Development, Sales, Product, Engineering, Legal, Finance, and leadership to align agreements with business goals. • Lead contract discussions and negotiations with internal and external stakeholders to achieve mutually beneficial outcomes. • Serve as the escalation point for complex, high-risk, or non-standard agreements requiring advanced judgment. • Evaluate and communicate legal, financial, operational, and strategic risks in alignment with company policies and approval frameworks. • Define and guide contract lifecycle approaches from intake through negotiation, approval, execution, and amendment. • Design, develop, and standardize contract templates, playbooks, and frameworks to improve efficiency, consistency, and scalability. • Define and drive improvements to contracting workflows, processes, and tools to reduce friction and improve cycle times. • Drive cross-functional alignment on contracting approaches for strategic partnerships and emerging business models. • Shape and influence contracting standards and approaches across the organization for complex commercial agreements. • Develop a working understanding of MCG’s business model, market dynamics, and customer needs to inform contracting decisions. • Translate legal, technical, and business concepts into clear, practical guidance for diverse stakeholder audiences. • Influence outcomes through collaboration, sound judgment, and subject matter expertise rather than formal authority. • Operate independently in a remote environment, managing multiple priorities and deadlines in a fast-paced setting. • Bring structure and clarity to ambiguous situations and evolving business needs.

• Strategically partner with Sales Executives and clinician-led Sales Solution Architects to lead and shape complex pre-sales engagements across payer and provider markets, ensuring technical alignment between customer enterprise architecture and MCG solutions. • Serve as the primary technical point of contact for customer and prospective IT, security, architecture, and digital health stakeholders throughout the sales cycle. • Lead and architect technical solution strategies related to Smart on FHIR, RESTful APIs, healthcare data exchange, and enterprise system integrations, leveraging standards such as FHIR and HL7. • Apply deep expertise in API-driven, service-based, and event-driven architectures to support embedded workflows, system extensibility, scalability, and enterprise-grade integration patterns. • Explain and validate integration approaches involving structured and unstructured healthcare data, including data normalization, transformation, and downstream data usage. • Translate and articulate how AI models are incorporated into MCG solutions, including data inputs and outputs, governance frameworks, model oversight considerations, and integration into enterprise clinical and operational workflows. • Lead highly complex, multi-system, multi-stakeholder enterprise deals involving EHR integrations and digital ecosystem expansion. • Influence solution positioning and commercial strategy by aligning technical architecture with customer business outcomes. • Contribute to long-term solution strategy based on market feedback and enterprise customer needs. • Own and drive complex technical due diligence activities, including enterprise security reviews, vendor risk assessments, technical RFP/RFI responses, and penetration testing discussions, ensuring alignment with customer compliance and security requirements. • Discuss authentication, authorization, identity management, and secure data exchange patterns, including OAuth2, SSO, and role-based access controls. • Design and present technical solution architectures, system diagrams, data flow diagrams, integration specifications, and deployment models aligned to customer environments. • Partner with Product, Engineering, SEAD, Security, and Implementation teams to validate technical feasibility, assumptions, constraints, and solution scope. • Clearly communicate technical capabilities, limitations, dependencies, and trade-offs to internal and external stakeholders. • Assist in defining implementation approaches, integration timelines, and technical prerequisites to support effective post-sale handoff. • Collaborate with Marketing and Revenue Operations to develop and maintain technical collateral, reference architectures, and technical enablement materials. • Proactively identify and mitigate technical and architectural risks early in the sales cycle including data quality, integration complexity, interoperability limitations, security posture, and deployment constraints while developing executive-ready mitigation strategies that protect deal velocity.

• Work closely with cross-functional MCG teams to identify, document, and analyze business processes. • Collaborate with various departments to develop cross-team processes to execute MCG business strategy. • Build process diagram maps in LucidChart, and Draw.io; create process procedural text documents in Confluence; and occasionally develop end-user training materials in PowerPoint or Word. • Lead current-state process documentation and analysis initiatives by identifying requirements, inputs, outputs, resources, and tasks, while documenting processes to uncover issues, risks, gaps and opportunities; drive resolution or mitigation efforts, communicate outcomes to stakeholders, and escalate to leadership as needed. • Implement and execute process improvements and new process designs in collaboration with stakeholders to enhance efficiency, productivity, and customer satisfaction while aligning with organizational goals. • Identify system and workflow infrastructure changes necessary to implement new processes. • Support Manager Business Process Excellence in facilitating key project/kaizen initiatives. • Assist in the change management necessary to roll out new processes and, if needed, develop and deliver process training to internal teams. • Provide stakeholders and shareholders with project status updates, feedback, and reporting on key responsibilities and objectives; identify and engage key stakeholders to participate in, review, and support process documentation, improvement, and development efforts; and ensure alignment on documented processes and enhancements to existing processes. • Provide ongoing administrative support for the MCG Process Library, including enforcing governance policies and documenting process best practices. • Assist Process Owners with setting process performance criteria and establishing regular monitoring and measurement methods. • Identify opportunities to improve personal and team knowledge and skills, including monitoring releases of utilized software to identify new features and investigating new frameworks and methodologies related to process excellence. • Facilitate meetings and/or projects and determine audience and tactics appropriate for a particular discussion. Adapt facilitation style to engage a variety of group settings.

• Demonstrate extensive expertise in MCG content and software solutions, including mastery of application and implementation to optimize outcomes • Support complex customers (at risk, multi-facility, multi-solutions) to address challenges and changes using MCG solutions by assessing current workflows and recommending workflows that optimize use of MCG solutions to meet customer needs • Lead discussions with customer executives and other high-level stakeholders to drive strategy and decision-making • Assess customer needs to identify areas of risk or gaps in workflows • Provide strategic guidance aligned to customer goals to maximize value from MCG solutions • Monitor and measures strategy effectiveness with dashboards and reporting • Adopt and applies AI-driven tools and capabilities to improve efficiency, support decision-making, and enhance the overall customer experience • Lead change management processes for optimal adoption of MCG solutions • Collaborate with customers pre and post implementations for support and strategic decisions • Collaborate with Account Management to provide clinical insights, identify risks, and support implementation approaches for identified customers • Effectively communicates with internal stakeholders to provide updates on engagement progress and address needs promptly • Demonstrate capability to identify potential barriers to re-licensure and collaborates proactively with other MCG departments to improve success • Provide customer feedback to the Product Management team for solution enhancements and issues impacting adoption • Maintain proficiency with Salesforce, Gainsight, Microsoft Office • Utilize the Customer Success Toolkit • Demonstrate proficiency in MCG Core Competencies • Represent and advocate for the Care Strategies team across MCG internal initiatives and external strategic projects (example: Commercial Launch, Early Adopters) • Partner with Director of Care Strategies and Manager, Care Strategy Consultants to improve processes within the team • Mentor Care Strategy Consultants • Assist with new hire onboarding to support new team members • Provide insights and education to other members of Customer Success for the CSC role • Represent MCG at industry events and conferences

At MCG, we lead the healthcare community to deliver patient-focused care. We have a mission-driven team of talented physicians and technical experts developing our evidence-based content and innovating our products to accelerate improvements in healthcare. If you are driven to enhance the US healthcare system, MCG is eager to have you join our team. We cultivate a work environment that nurtures personal and professional growth, and this is a thrilling time to become a part of our organization. With dynamic roles that offer meaningful impact, you'll be able to fully realize your potential. Plus, you'll enjoy world-class benefits and the security, stability, and resources of our parent company, Hearst, with over 100 years of experience. As a temporary Compliance Program Manager, you will work on the Governance, Risk Management and Compliance (GRC) team. The GRC team is part of the MCG’s Security Operations team. This is a crucial role for helping maintain and enhance the company’s security and compliance posture. Success in this position will depend upon effective working relationships with many teams and people, which may include MCG staff, corporate office, clients, and vendors.  You Will: - Work with stakeholders to create, review and enhance a process to periodically update policies and procedures to ensure they accurately reflect compliance controls/requirements and align to industry leading security practice. - Collaborate with internal and external teams to ensure the integrity, effectiveness and efficiency of the compliance program. You will help raise awareness to the Business and IT stakeholders of compliance requirements, regulations and controls. - Document, track and report security management and compliance activities and results. - Review and complete security and compliance questionnaires from clients and may be required to attend client meetings to address their follow-up requests and questions. - Lead company-wide training effort to meet training requirements for security and compliance. - Coordinate and conduct internal audits to ensure adequate security requirements are incorporated and policies are followed. - Define and identify compliance gaps and provide recommendations (remediation/mitigation) for control process improvements. - Manage account and access reviews on a regular basis to ensure compliance. - Proactively monitor changes in business processes and provide guidance and support to internal stakeholders. - Coordinate and participate in validation and assessment including but not limited to HIPAA, HITRUST and FedRAMP. This entails activities around scope, processes, assessments, documentation, reporting and remediation. - Make recommendations on process implementation and changes for improving company’s security and compliance posture. - Some domestic travel for meetings and events is required. What We’re Looking For: - 1 to 3 years of information security/compliance working experience. - Experience with various security frameworks such as ISO, HIPAA, NIST, etc. - Experience with assessments such as HIPAA, HITRUST, FedRAMP, etc. - Knowledge of information technologies components such as cloud computing, networking, security, operating system, and database. - High proficiency in effective written and verbal communication. - Must be quality and results driven, detail and customer service oriented, self-motivated with the ability to work independently and remotely. - Able to think strategically and work with people at all levels. - Strong research and investigation skills. - An ideal team player. - Health IT experience is a plus. - Security certification such as CISA or CISSP is a plus. - Project management experience is a plus. The above is intended to describe the general content of, and requirements for, the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. Pay Range: $70/hr Please note this is a temporary position for a 3-month project assignment (with the potential of being longer based on project needs). Other compensation: N/A We embrace diversity and equal opportunity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. Only with diverse thoughts and ideas will we be able to create the change we want in healthcare. The more inclusive we are, the better our work will be for it. MCG Health is a Seattle, Washington-based company and is considering remote candidates with a preference for those located in Seattle. All roles at MCG are expected to engage in occasional travel to participate in team or company-sponsored events for the purposes of connection and collaboration. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. MCG is a leading healthcare organization dedicated to patient-focused care. We value our employees' unique differences and are an Equal Employment Opportunity (EEO) employer. Our diverse workforce helps us achieve our goal of providing the right care to everyone. We welcome all qualified applicants without regard to race, religion, nationality, gender, sexual orientation, gender identity, age, marital status, veteran status, disability, pregnancy, parental status, genetic information, or political affiliation. We are committed to improving equity in healthcare and believe that a diverse workplace fosters curiosity, innovation, and business success. We are happy to provide accommodations for individuals. Please let us know if you require any support.

Role Description As a temporary Compliance Program Manager, you will work on the Governance, Risk Management and Compliance (GRC) team. The GRC team is part of MCG’s Security Operations team. This is a crucial role for helping maintain and enhance the company’s security and compliance posture. Success in this position will depend upon effective working relationships with many teams and people, which may include MCG staff, corporate office, clients, and vendors. - Work with stakeholders to create, review and enhance a process to periodically update policies and procedures to ensure they accurately reflect compliance controls/requirements and align to industry leading security practice. - Collaborate with internal and external teams to ensure the integrity, effectiveness and efficiency of the compliance program. - Help raise awareness to the Business and IT stakeholders of compliance requirements, regulations and controls. - Document, track and report security management and compliance activities and results. - Review and complete security and compliance questionnaires from clients and may be required to attend client meetings to address their follow-up requests and questions. - Lead company-wide training effort to meet training requirements for security and compliance. - Coordinate and conduct internal audits to ensure adequate security requirements are incorporated and policies are followed. - Define and identify compliance gaps and provide recommendations (remediation/mitigation) for control process improvements. - Manage account and access reviews on a regular basis to ensure compliance. - Proactively monitor changes in business processes and provide guidance and support to internal stakeholders. - Coordinate and participate in validation and assessment including but not limited to HIPAA, HITRUST and FedRAMP. - Make recommendations on process implementation and changes for improving company’s security and compliance posture. - Some domestic travel for meetings and events is required. Qualifications - 1 to 3 years of information security/compliance working experience. - Experience with various security frameworks such as ISO, HIPAA, NIST, etc. - Experience with assessments such as HIPAA, HITRUST, FedRAMP, etc. - Knowledge of information technologies components such as cloud computing, networking, security, operating system, and database. - High proficiency in effective written and verbal communication. - Must be quality and results driven, detail and customer service oriented, self-motivated with the ability to work independently and remotely. - Able to think strategically and work with people at all levels. - Strong research and investigation skills. - An ideal team player. - Health IT experience is a plus. - Security certification such as CISA or CISSP is a plus. - Project management experience is a plus. Requirements - The above is intended to describe the general content of, and requirements for, the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities, or requirements. - Pay Range: $70/hr - Please note this is a temporary position for a 3-month project assignment (with the potential of being longer based on project needs). Benefits - World-class benefits and the security, stability, and resources of our parent company, Hearst, with over 100 years of experience. Company Description MCG is a leading healthcare organization dedicated to patient-focused care. We value our employees' unique differences and are an Equal Employment Opportunity (EEO) employer. Our diverse workforce helps us achieve our goal of providing the right care to everyone. - We embrace diversity and equal opportunity and are committed to building a team that represents a variety of backgrounds, perspectives, and skills. - We are committed to improving equity in healthcare and believe that a diverse workplace fosters curiosity, innovation, and business success. - We welcome all qualified applicants without regard to race, religion, nationality, gender, sexual orientation, gender identity, age, marital status, veteran status, disability, pregnancy, parental status, genetic information, or political affiliation. - We are happy to provide accommodations for individuals. Please let us know if you require any support.

Role Description The Payer Workflow & Integration Lead serves as a subject matter expert in payer-side healthcare workflows, system integrations, and data flows, supporting customer implementations through advisory guidance rather than execution. This role partners closely with Implementation, Product, and technical teams to identify risks early, answer complex workflow and integration questions, and guide solution design within real-world payer environments. By bringing deep expertise in health plan operations and system interactions, this individual helps teams anticipate challenges, reduce implementation delays, and improve overall delivery quality. This role is critical in strengthening internal capability, reducing reliance on limited subject matter experts, and increasing customer confidence in how solutions function within their organizations. You Will: - Serve as a subject matter expert on payer workflows, system integrations, and data flows - Advise implementation teams and customers on how solutions will function within complex payer environments - Lead or support workflow discovery and provide guidance on integration design during customer implementations - Identify risks, gaps, and potential blockers early in the implementation lifecycle and recommend solutions - Act as an escalation point for complex workflow and integration-related questions and challenges - Translate complex technical and operational concepts into clear, actionable guidance for internal teams and customers - Partner cross-functionally with Product, Implementation, and technical teams to align on solution design and execution - Support customer-facing discussions related to workflow, integrations, and how solutions operate within their environments - Reduce dependency on Product teams by providing real-time workflow and integration expertise during implementations - Analyze patterns across implementations to identify recurring issues and recommend systemic improvements - Proactively assess customer environments to identify potential workflow and integration challenges prior to and during implementation - Provide guidance on how payer-specific processes (e.g., utilization management, prior authorization) may impact solution design and configuration - Facilitate working sessions with internal teams and customers to clarify workflows, integration points, and data dependencies - Advise on trade-offs and alternative approaches when standard implementation paths do not align with customer environments - Develop and maintain reusable artifacts (e.g., workflow diagrams, integration patterns, decision frameworks) to support consistent implementation outcomes - Contribute to standardizing implementation approaches, best practices, and processes to improve efficiency and scalability - Develop training materials and support cross-team enablement to expand workflow and integration knowledge - Mentor and upskill implementation team members on payer workflows, integration concepts, and issue identification - Provide field-driven feedback to Product teams on workflow gaps, integration challenges, and opportunities for enhancement - Support pre-implementation or late-stage sales conversations as a subject matter expert to validate feasibility and set expectations - Evaluate and recommend improvements to implementation processes to reduce cycle time and increase predictability - Support resolution of complex integration and workflow-related challenges across customer engagements Qualifications - Bachelor’s degree in Healthcare Administration, Information Systems, Computer Science, Business, or a related field, or equivalent combination of education and experience - At least 5 years of experience working with health plan (payer) systems, workflows, and operations - Hands-on experience supporting or advising on healthcare implementations, system integrations, or workflow design within payer environments - Strong understanding of end-to-end healthcare workflows, particularly within payer settings - Demonstrated experience with system integrations and data flows across multiple platforms (e.g., APIs, HL7/FHIR, or similar standards) - Proven ability to analyze, interpret, and translate business and technical requirements into actionable guidance - Experience working cross-functionally with technical, operational, and business stakeholders - Ability to diagnose complex workflow and integration issues and recommend effective solutions - Strong communication skills, with the ability to engage effectively with both technical and non-technical audiences Preferred Qualifications - Knowledge of HL7 Da Vinci implementation guides, particularly related to Prior Authorization - Knowledge of Utilization Management and/or Prior Authorization processes - Strong written and verbal communication skills - Strong problem-solving skills and ability to think beyond standard solutions - Ability to collaborate across teams and influence without direct authority Benefits - Remote work - Travel expected 3-4 times per year for company-sponsored events - Medical, dental, vision, life, and disability insurance - 401K retirement plan; flexible spending and health savings account - 15 days of paid time off + additional front-loaded personal days - 14 company-recognized holidays + paid volunteer days - Up to 8 weeks of paid parental leave + 10 weeks of paid bonding leave - LGBTQ+ Health Services - Pet insurance - Check out more of our benefits here

• Rapidly identify, assess, and resolve disruptions or gaps in clinical reasoning across assigned solutions • Document triage events, interventions, and outcomes in designated tracking systems • Monitor the flow and coherence of clinical reasoning across care teams, ensuring seamless care delivery • Identify patterns of reasoning breakdown and translate insights into actionable improvement strategies • Analyze clinical reasoning trends across customer accounts and report findings to leadership • Partner cross-functionally to address findings and implement solutions • Model a culture of intellectual curiosity, clinical excellence, and continuous improvement • Stay current on evidence-based practices, clinical reasoning research, and emerging care delivery trends