[Hiring] Healthcare Operations Consultant @Saxon Global

Role Description

Our client, Sleep Doctor, is seeking a highly experienced Healthcare Operations Consultant with deep hands-on Client expertise to support the transition of its Medical Device Equipment (MDE/DME) business from a cash-pay operating model to a scalable payer-based reimbursement model. The consultant will serve as both a strategic advisor and hands-on executor, assessing current workflows, identifying operational and system gaps, and directly implementing approved changes within the Client platform. The ideal candidate will have strong DME/HME operations, billing, reimbursement, payer, and revenue cycle experience, combined with the ability to configure and optimize Client.

Key Responsibilities

• Assess current-state business processes, workflows, and Client system configurations.
• Review and troubleshoot operational, billing, reimbursement, and workflow challenges.
• Analyze payer-related processes and identify barriers to successful reimbursement.
• Perform root-cause analysis of configuration, workflow, and process issues.
• Design and recommend improvements to support a payer-based operating model.
• Implement approved configuration changes directly within Client.
• Optimize billing, claims, reimbursement, intake, fulfillment, and operational workflows.
• Support payer setup, insurance processes, and reimbursement operations.
• Translate business requirements into Client configuration and workflow improvements.
• Collaborate with leadership, operations, billing, reimbursement, and end-user stakeholders.
• Validate system changes and business processes with key stakeholders.
• Provide best-practice recommendations for scalable DME/HME operations.
• Identify opportunities to improve operational efficiency, billing performance, and payer readiness.

Qualifications

• Significant hands-on experience administering, configuring, implementing, or optimizing Client.
• Strong understanding of DME/HME healthcare operations.
• Hands-on experience with payer setup, insurance billing, claims processing, reimbursement, and revenue cycle management.
• Experience translating business requirements into Client configurations and workflow solutions.
• Proven ability to troubleshoot operational inefficiencies, billing issues, reimbursement challenges, and system-related problems.
• Demonstrated experience implementing changes directly within Client rather than providing advisory services only.
• Strong business analysis, problem-solving, and process improvement skills.
• Excellent communication and stakeholder management skills.
• Ability to work independently in a consulting environment and move from assessment through implementation.

Preferred Qualifications

• Experience transitioning healthcare organizations from cash-pay to insurance/payer-based reimbursement.
• Experience in Sleep Medicine, Respiratory Care, CPAP, DME, or HME.
• Experience with Medicare, Medicaid, and commercial payer processes.
• Healthcare consulting experience working directly with executive and operational leadership.
• Experience optimizing DME billing and revenue cycle workflows.
• Experience supporting scalable healthcare operations and system implementations.

Ideal Candidate

The ideal consultant combines:

• Deep Client platform expertise.
• DME/HME healthcare operations experience.
• Payer, billing, claims, and reimbursement knowledge.
• Revenue cycle management experience.
• Business process improvement expertise.
• Hands-on Client configuration and implementation capabilities.

This individual must be comfortable moving beyond assessment and recommendations into direct execution, system configuration, workflow optimization, and implementation.

Engagement Details

Submission Requirements:

• Updated resume.
• Summary of hands-on Client experience.
• Description of DME/HME experience.
• Details of payer, billing, reimbursement, and RCM experience.
• Examples of Client implementation/configuration projects.
• Details of any cash-pay to insurance/payer transition projects.
• Availability.

Thanks & Regards,
Swati Nishad
Sr. Technical Recruiter
Saxon Global Inc
+14698286235
Email ID: [email protected]