Position Details: Healthcare Solution Architect Presales-Healthcare_CMS Grievances
$138.6k - $187.5kTEPHRA
Lead Solution Architect And Subject Matter Expert For Healthcare Lead solution architect and subject matter expert for the healthcare vertical, owning end to end presales and solution strategy for proactive and reactive deals across U.S. healthcare clients. Lead U.S.-focused and global healthcare pursuits, engage directly with client executives, assess current state healthcare contact center operations, design future ready AI led CX solutions, and drive business case, pricing, and ROI modeling. The role requires strong expertise across U.S. healthcare contact center ecosystems, including payer and provider operations, regulatory compliance, CRM platforms, and emerging Agentic AI and Voice AI technologies. Responsibilities and Duties: Lead solution design, approach, and strategy across proactive and reactive healthcare deals Deep knowledge of CRM, platforms, and tools used by U.S. Payor and Provider organizations (e.g., PEGA, TriZetto Facets, agent workspaces, knowledge management, scripting tools) Identify emerging trends, disruptive technologies, and evolving customer needs in U.S. healthcare Hands on experience creating proposals, presentations, and end to end deal constructs; defend solutions with client executives Lead development and review of RFP/RFQ responses for U.S. healthcare clients Partner closely with sales for GTM motions and new logo pursuits Build and sustain a healthy U.S. healthcare deal pipeline Strong understanding of U.S. healthcare compliance and regulatory frameworks (HIPAA, HITECH, TCPA) Ability to analyze upstream and downstream interaction flows (member/provider calls) to tailor intent driven strategies Travel to U.S. client sites as required for due diligence and solution defense Provide business led technology implementation strategies aligned to desired outcomes Deliver competitive intelligence, market insights, and partnership recommendations Perform financial analysis covering pricing models, cost structures, and ROI Conceptualize AI led and Agentic AI based contact center solutions Ensure responsible, compliant, and transparent AI adoption in line with U.S. regulatory expectations Qualifications: Bachelor's or master's degree in business administration or related field 16+ years of experience in BPO / Customer Operations 10+ years in U.S. healthcare delivery and/or healthcare solutioning Mandatory experience in U.S. Healthcare Payor operations Strong techno functional understanding of healthcare contact center platforms Experience with CRM, member/provider workflows, analytics, and AI led CX Healthcare certifications preferred Salary Range: $138,600 - $187,500 a year TEPHRA
- ...AreAccenture is a leading solutions and services company that... ...applications. You AreAs a GenAI Presales Solution Architect, you will lead the end-to-... ...use cases. Prepare detailed ADM effort estimates and get... ...upon being hired for this position, please click here for additional...SuggestedFull timeWork experience placementLive inWork at officeLocal area
$120k - $170k
...Houston, Texas*The Senior Security Solutions Architect / Presales Engineer will support ePlus sales on... ...and document solution architecture, detailed configurations, and bills of materials... ...base salary range for this position at commencement of employment is expected...SuggestedContract workLocal areaRemote work- ....)Define reusable AI building blocks and Healthcare-specific agent scaffolds that feed into the Connect AI ecosystemBuild working solutions integrated with cloud data platforms like... ...workflows, regulatory frameworks (HIPAA, CMS-0057-F, GDPR, ISO 13485, ISO 42001, etc.)...CmsContract work
- GenAI Presales Solution Architect Associate DirectorAccenture is a leading global professional services company that helps the world's leading businesses... ...DB, Agents, APIs, etc.) with business use cases.Prepare detailed ADM effort estimates and get them validated with AI & Data...SuggestedWork experience placementWork at officeLocal area
- ...Mockingbird Towers 4th FLR The IT Solution Architect oversees the design, build,... ...related discipline, or in healthcare related field is required .... ...with great attention to detail across all layers of... ...reasonably related to the employee's position, qualifications, and...SuggestedContract workWork at office
$222.5k - $261.9k
Are you ready to make an impact?Presales Solution ArchitectTechnology & Experience PracticeOverviewWest Monroe is seeking a Presales Senior Solution Architect to support large-scale, enterprise technology transformation projects delivered in partnership with leading system...Work at officeLocal areaImmediate startFlexible hours- ...the largest not-for-profit healthcare system in Texas that empowers... ...on your journey. For full details on coverage and eligibility... ...may vary based upon position type and/or level. Job Summary... ...Summary The Enterprise Access Solutions Architect- Medical Group is...Work experience placementImmediate start
$165 - $180 per hour
...lanterncare.com. Director, Solutions Architect (Health Plans)*This is an individual... ...Success requires balancing detailed technical and financial... ...progressive experience in healthcare, health plans, or health... ....Have High Energy and a Positive Outlook: Infusing their engagement...Work at officeFlexible hours$110 per hour
...comprehensive behavioral health solution, dedicated to making mental... ...‘s mission is to make mental healthcare work for everyone. Minimum... .... Compensation details: Per session payment... ...with clinical guidelines and CMS billing standards. ~ Financial...CmsBi-weekly payFor contractorsPrivate practiceRemote work- Accenture is seeking a GenAI Presales Solution Architect Associate Director to lead end‑to‑end solution blueprints bridging client vision and technology execution. You will design AI/GenAI solutions, coordinate global delivery and sales, and craft compelling proposals across...
- ...shape the future of convenience.The Senior Solution Architect defines the architecture and technical... .../personalization, CRM (SFMC), CMS (Contentstack), and retail media.Experience... ...7-Eleven is offering in the US for the position, please visit this link.For a general description...CmsHourly payWork experience placement
$129.7k - $176.7k
...’s needs, demonstrating the product and solution capabilities, scoping services, designing... ...QualificationsTechnology, Nonprofit, Healthcare, Financial & Professional Services, Family... ...residents, the compensation range for this position: $129,700 - $176,700. For Washington...Full timeContract workWork experience placementWork at officeLocal areaFlexible hours$175k - $200k
...providing unique technology solutions and consulting... ...within ourselves to find positive solutions to different... ...:The Senior Solutions Architect, Security Operations... ...This is a client-facing, presales role in a practice... ...customers.Highly organized, detail-oriented, excellent...Live inWork at officeLocal areaRemote workFlexible hours$101k - $120k
Job DescriptionWelcome to AMN Healthcare — Where Talent Meets PurposeEver wondered what it... ...healthcare staffing and total talent solutions companies? It takes trailblazers, innovators... ...Companies since 2006.The Solution Architect I is an early-career architecture role...Full timeWork at office$149.45k - $345.94k
...seeking a Senior SAP AMS Pre-Sales Solution Architect - Remote US Position NTT Data is looking for a Senior SAP... ...teams Collaborate with sales and presales teams to plan account strategies and... ...skills. Ability to translate technical details into business language and value-...Full timeTemporary workWork at officeRemote workFlexible hours- ...scalable, end-to-end solutions that unify data, streamline... ...matter expert and healthcare technologist, you take... ...Product Owner and Technical Architect to understand... ...and products· Provide detailed level of effort estimates... ...0, 2026, or until the position is filled.EEO and AccommodationsSlalom...Local areaShift work
- ...compliance with federal and state regulations in grievance investigations. The role supports high-... ...'s degree in nursing, clinical or healthcare related field of study from an... ...Centers for Medicare and Medicaid Services (CMS) investigations, ensuring compliance with...CmsFlexible hours
- ...Analyses, and addressing quality-of-care grievances. They support High Reliability... ...Bachelor's degree in nursing, clinical, or healthcare-related field of study from an accredited... ...Centers for Medicare and Medicaid Services (CMS) per regulatory standards. • Maintains...CmsWork experience placement
- ...Provider Data, Complaints, Appeals and Grievances as well as other operational departments... ...experience processing medical claims in the healthcare industry. Prior experience working... ...Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from...Cms
- ...In this highly technical and fast-paced position, you will collaborate with multidisciplinary... ...using an encoder Proficient in detailed work Maintain a professional image in handling... ...lives through compassionate, quality healthcare. For nearly a century, Dallas-based Methodist...CmsShift work
- ...world, our purpose is to make a positive difference in the quality of... ...and to follow all CDC and CMS guidelines. We provide full PPE... ...Requirements: Valid healthcare license (RN, LPN, PT, OTR-L,... ...motivated Must be organized and detail-oriented Must live in the...CmsLive inRemote workNight shiftEarly shift
- ...facility standards.Maintain compliance with CMS, TJC, OSHA, and state nursing board... ...-pressure situations.Strong attention to detail and adherence to safety standards.Proficiency... ...of standing and assisting with patient positioning.Ability to lift, move, or position patients...CmsLocal area
- ...Job Details - With level of care screening criteria such as MCG or Interqual, CMS regulations as related to hospital admissions, Utilization management or utilization... .... Benefits Becoming an AMN Healthcare professional gives you the incredible...CmsTemporary work
- ...of the DOC team, we are instrumental in bringing hospitality to healthcare. Come join DOC as an Orthopedic Billing Specialist for our... ...Specialist, DOC requires the following competencies:Attention to detail;sound judgment;independent workload management;accountability;active...CmsFull time
$133.3k - $181.7k
...AI & Microsoft Fabric Pre-Sales Architect to join our Artificial Intelligence Solutions practice. This role blends deep... ...experience (e.g., Manufacturing, Healthcare, Financial Services)"Armanino" is... ...the compensation range for this position: $133,300 - $181,700. For...Full timeContract workLocal areaFlexible hours- ...role where clinical knowledge, attention to detail, and teamwork directly impact resident... ...assessment modifications/inactivations per CMS policy.Conduct regular audits of MDS... ...process efficiently.Minimum of 2 years of healthcare experience.Experience in MDS completion,...CmsWork at officeFlexible hoursDay shift
$135.2k - $236.6k
...future. Responsibilities Design end-to-end solutions and reference architectures spanning... ...role is $135,200.00 to $236,600.00. This position is also incentive eligible. Vizient has... ...at Vizient means shaping the future of healthcare, every day. Alongside our clients, we're...For contractors$290.63k - $381.45k
...Work Location: This position is fully remote and open... ...flares and develop solutions to address key drivers... ..., provider and member grievances, and complex case management... ...experience in healthcare. ~10+ years of experience... ...for candidates and detail how we use AI to support...CmsFull timeLocal areaRemote workWork from homeHome office$27 - $35 per hour
...providing personable solutions to accommodate resident... ...This is a full-time position, and as a member of our... ...DOH regulations and CMS guidelines (recommended... ...skills Attention to detail and critical thinking... ...dedicated and compassionate healthcare professional looking...CmsFull time- Job Title: Solution Architect - HR. Location: Remote (U.S.). Employment Type: Contract (W2 through ZipStaff — No C2C or 1099). About the Opportunity... ...solutions across enterprise platforms for a major healthcare organization. You will own solution design for HR-related capabilities...Contract workRemote work
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