Job Summary

Senior Consulting Manager role in a global organization focusing on strategic payer domain engagements driving complex consulting initiatives that improve healthcare value and operational efficiency. The role involves hybrid work model with daytime schedule partnering with stakeholders to deliver measurable outcomes across payer operations analytics and member experience.

Responsibilities

• Drive complex consulting engagements in the payer domain to deliver measurable improvements in claims management provider contracting and member services while aligning outcomes with organizational goals and client expectations.
• Guide cross functional consulting teams to define payer business problems develop structured hypotheses and design data backed solutions that advance care affordability and administrative efficiency.
• Manage end to end engagement lifecycles from discovery and assessment through solution design execution and advantages realization ensuring delivery practices meet quality standards and regulatory obligations in payer operations.




• Collaborate with payer client executives and internal stakeholders to prioritize consulting initiatives refine value propositions and translate strategic objectives into actionable roadmaps with clear milestones and success metrics.
• Direct the development and refinement of operating models for health plans including enrollment processes utilization management workflows and grievance and appeals handling to enhance member satisfaction and compliance.
• Coordinate analytical reviews leveraging claims data authorization records and provider performance indicators to identify cost containment opportunities fraud waste and abuse patterns and process bottlenecks in payer ecosystems.
• Oversee preparation of detailed business cases and outcome projections that quantify financial impact service quality gains and risk mitigation benefits associated with proposed payer transformation programs.
• Champion adoption of standa

📌 Sr. Consulting Manager (Chennai)
🏢 Cognizant
📍 Chennai