[Hiring] Director @Tegria

Role Description

Provide strategic leadership and operational oversight for Payer consulting portfolios that bridge technology, regulatory requirements, and core health plan operations. You are accountable for defining payer-focused service offerings, delivery standards, and performance outcomes that improve operational efficiency, compliance, member experience, and financial performance while supporting sustainable business growth. In partnership with client executives and internal delivery leaders, you guide engagements from strategy through execution, overseeing current-state operational assessments, future-state operating model and workflow design, and large-scale technology transformations. These initiatives leverage payer platforms such as core administration and claims processing systems, enrollment and eligibility platforms, care and utilization management tools, provider network systems, and analytics and reporting solutions. Through strong governance, hands-on leadership, mentorship, and cross-functional collaboration, you ensure high-quality delivery at scale, manage delivery and regulatory risk, develop consulting talent, and build trusted, long-term client partnerships with health plan leaders.

Qualifications

• Bachelor's degree in a related field or equivalent experience. Master’s degree or MBA preferred.
• Current Epic Certifications with Payer Integration experience in one or more of the following:
  • Epic Payer Platform
  • Tapestry Eligibility and Enrollment
  • Healthy Planet / Compass Rose
  • Premium Billing
  • CRM

Requirements

• Extensive related experience in healthcare consulting or technology leadership experience, including:
  • Engagement-executive oversight of multi-million dollar engagements or programs.
  • Strategic leadership across multiple client portfolios and service lines.
  • Client relationship management and negotiation.
  • People management, including coaching, performance evaluation, and staffing.
  • Budget ownership and P&L accountability.
  • Strategic planning and solution design.
  • Business development and proposal development.
  • Mentorship and professional development of consulting staff.
• Expert knowledge of:
  • The organization and functional area(s).
  • Healthcare operations, systems, or digital transformation.
  • Business operations and strategy, particularly within the healthcare sector, understanding market trends and client needs.
  • Advanced knowledge of healthcare regulations, interoperability standards, and industry frameworks.
  • In-depth understanding of consulting methodologies and project management approaches (Agile, Scrum, PMBOK).
  • Operational understanding of employment laws relevant to people leadership.
  • Broad knowledge of the healthcare IT consulting industry.
• Reliable internet access and sufficient speed to perform the job satisfactorily.

Benefits

• Choice of multiple health and dental plans with nationally recognized networks.
• Vision benefits, total wellness program, and employee assistance program.
• 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.