Tegria

Role Description A Managing Consultant works as a senior delivery team member on a client engagement – this could be on a single customer engagement or across customers. As a Managing Consultant, you are recognized as an advanced individual contributor and a leader on the team, mentoring less experienced team members and performing highly complex work with extensive latitude for independent judgement. - Engagement Leadership - Serving in a lead capacity and providing product, operational, project-based, and/or related consulting services as needed. - Providing professional, effective, and consistent delivery of consulting services on all assigned engagements. - Working independently or as part of a project team on a client engagement, either full time on a single customer engagement or part time across multiple customers. - Proactively managing engagement/client communications, expectation setting, and time and status reporting by leveraging effective written and verbal communication and facilitation skills. - Applying appropriate tools and methods as needed including, but not limited to, use of status reporting, standards, tools, metrics, expectation management, change management, change control, and quality assurance methods. - Effectively managing your own time and project deployment/utilization. - Collaborating on project activities and deliverables with fellow Tegria team members. - Internal Team Support - Leveraging your specialized skill set to serve as a thought leader on the team. - Role Profile - Mentoring less experienced team members. - Sales and Business Development - Supporting sales and business development by ensuring quality delivery on assigned engagements. - Reporting potential engagement expansion opportunities identified while working on assigned engagements. - Developing materials to support sales efforts, as needed. - Personal/Professional - Operating independently without guidance or oversight; monitoring your own work progression. Qualifications - Bachelor’s degree in healthcare, business, IT, or computer science, equivalent role-focused certification, or an equivalent combination of education and experience. - Typically, 6+ years’ experience in some or all the following: - Healthcare or healthcare IT. - Serving in the consulting or professional services industry. - Area of focus (e.g., health plan operations, project management, product). - Exceptional interpersonal, communication and organizational skills. - Ability to work independently and collaboratively in a matrix-management model. - Able to work successfully without supervision with extensive latitude for independent judgement. - Recognized as a subject matter expert within your field or focus area. - Demonstrated ability in mentoring less experienced team members. Benefits - Choice of multiple health and dental plans with nationally recognized networks. - Vision benefits, a total wellness program, and an employee assistance program for you and your family. - Competitive wages and retirement savings plans. - Company-paid disability and life insurance. - Pre-tax savings opportunities (HSA and/or FSA). - Professional development offerings and opportunities for remote work. - A generous paid-time-off program for vacations, illness, and personal events.

Role Description A Managing Consultant works as a senior delivery team member on a client engagement – this could be on a single customer engagement or across customers. As a Managing Consultant, you are recognized as an advanced individual contributor and a leader on the team, mentoring less experienced team members and performing highly complex work with extensive latitude for independent judgement. Core Responsibilities of the Role - Engagement Leadership - Serving in a lead capacity and providing product, operational, project-based, and/or related consulting services as needed - Providing professional, effective, and consistent delivery of consulting services on all assigned engagements - Working independently or as part of a project team on a client engagement, either full time on a single customer engagement or part time across multiple customers - Proactively managing engagement/client communications, expectation setting, and time and status reporting by leveraging effective written and verbal communication and facilitation skills - Applying appropriate tools and methods as needed including, but not limited to, use of status reporting, standards, tools, metrics, expectation management, change management, change control, and quality assurance methods - Effectively managing your own time and project deployment/utilization - Collaborating on project activities and deliverables with fellow Tegria team members - Internal Team Support - Leveraging your specialized skill set to serve as a thought leader on the team - Mentoring less experienced team members - Sales and Business Development - Supporting sales and business development by ensuring quality delivery on assigned engagements - Reporting potential engagement expansion opportunities identified while working on assigned engagements - Developing materials to support sales efforts, as needed - Personal/Professional - Operating independently without guidance or oversight; monitoring your own work progression Qualifications - Bachelor’s degree in healthcare, business, IT, or computer science, equivalent role-focused certification, or an equivalent combination of education and experience - Typically, 6+ years’ experience in some or all the following: - Healthcare or healthcare IT - Serving in the consulting or professional services industry - Area of focus (e.g., health plan operations, project management, product) - Exceptional interpersonal, communication and organizational skills - Ability to work independently and collaboratively in a matrix-management model - Able to work successfully without supervision with extensive latitude for independent judgement - Recognized as a subject matter expert within your field or focus area - Demonstrated ability in mentoring less experienced team members Benefits - Choice of multiple health and dental plans with nationally recognized networks - Vision benefits, a total wellness program, and an employee assistance program for you and your family - Competitive wages and retirement savings plans - Company-paid disability and life insurance - Pre-tax savings opportunities (HSA and/or FSA) - Professional development offerings and opportunities for remote work - A generous paid-time-off program Company Description At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care. And at the very core of this vital work is our incredibly talented people. People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare.

• Configure and maintain NetworX pricing components • Analyze provider contracts and reimbursement methodologies • Build, test, and support provider reimbursement models within Facets and NetworX environments • Perform configuration updates, maintenance, and enhancements related to provider pricing and contract management • Collaborate with Provider Contracting, Claims Operations, Provider Data Management, and IT teams • Conduct unit testing, integration testing, and production validation for configuration changes • Troubleshoot pricing and claims adjudication issues and perform root cause analysis • Develop and execute SQL queries, data extracts, and reports to support configuration validation and operational analysis • Create and maintain configuration documentation, workflows, and standard operating procedures • Participate in system upgrades, implementations, and process improvement initiatives

• Leading finance-led business integration initiatives that support mergers and acquisitions • Provides leadership for post-acquisition integration planning and execution • Developing and overseeing integration plans, governance, and execution activities • Ensures integration activities remain aligned with strategic objectives and financial commitments • Leads synergy planning and realization, future-state operating model design for acquired businesses • Partners closely with Information Technology and other functional leaders • Develops integration methodologies, playbooks, and best practices

Role Description As a Talent Acquisition Sourcer, your work at Tegria will focus on supporting the business and client objectives by applying professional judgment to identify prospective candidates, develop and maintain talent pipelines, and contribute to recruiting initiatives aligned with current and anticipated organizational needs. Operating in a fast-paced, high-volume recruiting and resource management environment, this role requires the ability to evaluate candidate alignment, adapt sourcing approaches based on evolving priorities, and balance competing demands in support of business outcomes. As part of a high-touch organization, this role delivers thoughtful, professional candidate experience while exercising discretion in assessing qualifications, formulating recommendations, and supporting effective alignment between client needs and consultant capabilities. The role collaborates closely with internal stakeholders and senior recruiting team members to support recruiting strategies, contribute to process improvements, and ensure talent efforts remain responsive to changing business and market conditions. An effective Talent Acquisition Sourcer will help the organization achieve success through: - Living our Tegria values: Respect Every Person, Act with Integrity, Strive for Better, Embrace Change, Deliver as a Team - Talent Sourcing & Recruiting - Meet assigned productivity and performance objectives by aligning sourcing and recruiting activities with business priorities and client demand - Build and sustain high-quality talent pipelines through the strategic identification, engagement, and relationship management of prospective consultants and operational candidates - Coordinate and manage end-to-end sourcing activities supporting current and anticipated hiring needs, including referral outreach, candidate screening, job posting administration, resume evaluation, and accurate documentation within applicant and job management systems - Apply a variety of sourcing channels and recruiting approaches to attract, engage, and maintain communication with prospective candidates - Review candidate applications and exercise evaluative judgment to assess qualifications, experience, and overall alignment with evolving operational and client requirements - Analyze market competitiveness by benchmarking candidate profiles and skillsets against relevant industry peers - Develop and communicate well-supported recommendations regarding candidate disposition and proposed next steps - Apply discretion in determining candidate inclusion, prioritization, and continued engagement within active talent pipelines - Assess sourcing effectiveness and provide recommendations regarding the allocation of recruiting funds for paid advertising - Research industry trends, competitor practices, and talent market conditions to inform sourcing approaches and candidate engagement strategies - Leverage recruiting technologies, industry tools, and professional networks to support the attraction of high-caliber and diverse talent - Support senior recruiting team members on targeted initiatives by contributing candidate identification, outreach coordination, interview logistics, candidate submissions, and follow-up support - Represent the organization’s value proposition and employment offerings through consistent, professional, and personalized candidate engagement - Synthesize rapidly changing information and apply critical analysis to candidate evaluations, sourcing activities, and recruiting priorities - Maintain and expand working knowledge of organizational services, client needs, and the healthcare information technology landscape, including platforms such as Epic, Cerner, and MEDITECH - Apply sound professional judgment in identifying, sourcing, and recommending candidates aligned with organizational and client needs - Internal Team & Process Support - Contribute to Talent Acquisition team goals through collaboration, knowledge sharing, training support, and recognition of team contributions - Maintain accurate, compliant, and current candidate documentation through effective use of applicant tracking systems, reports, dashboards, and auditing methods - Identify opportunities to improve recruiting processes, participate in cross-functional initiatives, and support the development of scalable recruiting infrastructure aligned with business needs Qualifications - Bachelor’s degree in Human Resources, Business Administration, Communications, or a related field, or equivalent combination of education and experience - Typically, 2–4 years of experience in recruiting, talent acquisition, or workforce planning, preferably within consulting, healthcare IT, or professional services environments - Experience supporting multiple requisitions simultaneously - Proficient knowledge of recruiting principles, sourcing strategies, and candidate evaluation methodologies - Healthcare information technology market and consulting workforce models (Epic, Cerner, MEDITECH experience preferred) - Talent market dynamics, competitive benchmarking, and workforce trends - Employment branding and candidate engagement best practices Requirements - W2 project-based consultants will be expected to provide a computing device that adheres to industry standards and security best practices to use in satisfying the Project Services on behalf of Tegria Success Criteria - People who are successful in this role are productive, responsive, and reliable in a remote working environment - Apply sound judgment and discretion when evaluating candidates and recommending outcomes - Display a strategic mindset with attention to both immediate hiring needs and long-term talent planning - Demonstrate adaptability and critical thinking in a changing business environment Salary Range 70000-85000 Benefits - We offer a choice of multiple health and dental plans with nationally recognized networks, as well as vision benefits, a total wellness program, and an employee assistance program for you and your family. - We offer competitive wages, retirement savings plans, company-paid disability and life insurance, pre-tax savings opportunities (HSA and/or FSA), and more. - Our lifestyle benefits are unrivaled, including professional development offerings, opportunities for remote work, and a generous paid-time-off program. Company Description At Tegria, we bring bold ideas and breakthroughs to improve care, technology, revenue, and operations in ways that move healthcare organizations from patient-centered to human-centered. We are helping healthcare put people first—both patients and those who dedicate their lives to delivering care. And at the very core of this vital work is our incredibly talented people. People with different backgrounds who welcome challenge and change. People who listen first, ask hard questions, and make decisions to cultivate a culture of equity and inclusion. People who chase after goals, growth, and generosity. We’re real. We’re nimble, and we believe in our mission to humanize healthcare.

• Design, develop, test, and implement enhancements within the QNXT application. • Configure and customize QNXT modules, including claims, membership, provider, benefits, and authorization processing. • Develop and maintain stored procedures, SQL queries, interfaces, and system integrations. • Analyze business requirements and translate them into technical solutions. • Troubleshoot production issues and provide timely resolution. • Support system upgrades, patches, and performance optimization initiatives. • Develop and maintain EDI transactions, including 834, 835, 837, and other healthcare data exchanges. • Collaborate with cross-functional teams to gather requirements and perform impact analysis. • Create technical documentation, design specifications, and user support materials. • Ensure compliance with HIPAA, CMS, state regulations, and organizational standards. • Participate in code reviews, testing, deployment, and release management activities. • Support data conversion, migration, and reporting initiatives.

• Lead enterprise integration initiatives that align systems, processes, data, and reporting capabilities to improve operational efficiency • Partner with Finance, IT, and business leaders to implement integrated business processes • Improve data quality and deliver scalable technology solutions • Collaborate with Finance and Analytics teams to enhance dashboards and reporting solutions • Lead system integration projects across ERP, CRM, HRIS, and other enterprise platforms • Define business requirements, integration approaches, data flows, and solution designs • Support implementation and ongoing execution of enterprise data governance standards and policies • Partner with business and IT stakeholders to maintain master data integrity and consistency • Lead cross-functional integration projects from planning through implementation and post-deployment support • Manage project schedules, risks, dependencies, budgets, and resource requirements

• Oversee a team of medical coders, providing guidance, support, and training • Review and audit coded data to ensure accuracy, completeness, and compliance • Ensure compliance with all regulatory requirements • Provide ongoing training to coding staff • Resolve coding-related issues and discrepancies • Track and monitor individual coder performance

• Analyze healthcare payer data including claims, eligibility, provider, utilization, and financial datasets • Develop and maintain reports, dashboards, and analytics to support business stakeholders (e.g., medical management, finance, network, and operations) • Identify trends, anomalies, and cost drivers in healthcare utilization and expenses • Support value-based care initiatives, including quality metrics (e.g., HEDIS, STAR ratings) and risk adjustment analysis • Perform ad hoc data analysis to answer business questions and guide strategic decisions • Collaborate with business units to define requirements and translate them into data solutions • Ensure data accuracy, integrity, and consistency across systems • Assist with regulatory and compliance reporting (CMS, state, and internal requirements) • Partner with IT and data engineering teams on data extraction, transformation, and validation • Document methodologies, business definitions, and reporting processes

• Define and communicate the vision, roadmap, and priorities for healthcare EDI products and services. • Own the EDI product backlog and prioritize features, enhancements, defects, and technical debt. • Collaborate with business leaders to align EDI initiatives with organizational objectives. • Evaluate industry trends, regulatory changes, and emerging technologies to drive product innovation. • Partner with business operations, claims, enrollment, provider services, finance, compliance, and IT teams to gather requirements and define solutions. • Act as the primary point of contact for EDI-related product decisions and issue resolution. • Develop detailed business requirements, user stories, acceptance criteria, and process flows. • Monitor and improve transaction quality, accuracy, and timeliness. • Ensure EDI products comply with HIPAA, CMS, state regulations, and organizational standards. • Define and monitor key performance indicators (KPIs) for EDI operations and product performance.