Professional Services Consultant Jobs

Become a part of our caring community Join our Payment Integrity Letters team at Humana where you will help draft and implement outbound communication templates for the Payment Integrity Operations teams as a Payment Integrity Professional 2. You will help ensure compliance with state contractual requirements and Humana brand standards in drafting communication templates and working with the approvers and developers. You will report to the Associate Director, Business Systems Analysis. Main responsibilities: Collaborate with business partners to draft new communications Review existing communications on an annual basis to ensure compliance with all state requirements and Humana brand standards Ensure intake requests are completing all required steps in a timely manner and escalate off track tasks as needed Work with the EMME development team to ensure communication requirements are documented clearly and implemented correctly Validate communications in QA and Production environments on a regular basis to identify gaps Use your skills to make an impact Required Qualifications 2+ years' experience tracking process deliverables Experience editing documents with Microsoft Office Programs Word, PowerPoint, and Excel Experience handling multiple priorities Experience with com

At Freddie Mac, our mission of Making Home Possible is what motivates us, and it’s at the core of everything we do. Since our charter in 1970, we have made home possible for more than 90 million families across the country. Join an organization where your work contributes to a greater purpose. Position Overview: As a key member of the Multifamily Digital Program Strategy team, the Strategic Transformation Professional will play a critical role in driving enterprise-wide transformation initiatives, technology portfolio governance, and strategic program execution. This position partners closely with business and technology leaders to align strategic priorities, facilitate delivery through Agile methodologies, and ensure successful implementation of large-scale digital transformation efforts. The ideal candidate will bring experience managing complex programs, leading business requirements activities, supporting Agile delivery teams, and providing executive-level reporting and insights. This role offers the opportunity to influence strategic decision-making while collaborating across a broad network of Multifamily business and technology professionals. Our Impact: Freddie Mac Multifamily offers a dynamic and collaborative environment where team members contribute directly to the success of strategic technology modernization initiatives. The Multifamily Digital / Information Technology Portfolio Strategy team works closely with senior leadership and cross-functional stakeholders across Product Management, Business Operations, Architecture, Data Management, Risk & Controls, User Experience, and Technology Delivery to ensure program objectives are achieved and business value is realized. Your Impact: Partner with Multifamily Digital Program leadership, including providing direct strategic and operational support

Become a part of our caring community The Senior Process Improvement Professional analyzes and measures the effectiveness of existing business processes and develops sustainable, repeatable and quantifiable business process improvements. The Senior Process Improvement Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. The Humana Pharmacy Benefits Management (PBM) Strategy Enablement team partners with PBM teams to improve processes that will help our members improve their lives through better health outcomes. This role, within the Process Improvement (PI) team of Strategy Enablement, will work closely with PBM leaders, as well as key partners in leading and delivering on initiatives and process capabilities that enable improved effectiveness, efficiency, and experiences (member, provider and associate). The Senior Process Improvement Professional: Researches best business practices within and outside the organization to establish benchmark data. Defines and leads business improvement projects aligned with business strategies and operational priorities. Collects and analyzes process data to initiate, develop and recommend business practices and procedures that focus on member experience, increased productivity and efficiency and reduced cost. Determines how new information technologies can support re-engineering business processes. May specialize in one or more of the following areas: benchmarking, business process analysis and re-engineering, change management and measurement, and/or process-driven systems requirements. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding technical approach for project components, and work is perf

Become a part of our caring community We are looking for a highly motivated Senior Technology Leadership professional to join our IT Operations team. You will support the Lead of the Application Operations Center and Enterprise Post Production Validation teams, with a focus on process automation, innovation, and continuous improvement. You will work with both onshore and offshore resources, ensuring in daily tasks, enhancing application support, and driving improvements in monitoring and validation processes. Main Responsibilities: Collaborate with the Lead to provide operational and strategic support for Application Operations Center and Post Production Validation teams. Identify, evaluate, and implement automation opportunities to increase efficiency and reduce manual workload. Drive process innovation by recommending and deploying advanced tools and methodologies for application operations and validation activities. Analyze existing workflows and develop documentation for standard operating procedures and best practices. Oversee daily application support and monitoring activities to ensure system stability, performance, and reliability. Partner with onshore and offshore teams to coordinate task execution and promote consistent adoption of new processes and technologies. Develop and maintain dashboards and reports to track key performance indicators and present findings to leadership. Ensure automation and process improvements comply with organizational standards and regulatory requirements. Facilitate knowledge sharing, training sessions, and change management activities to support team development and successful project implementation. Engage with stakeholders to gather requirements, understand challenges, and communicate progress on automation initiatives. Ability to create

Become a part of our caring community The Dental Recontracting Professional initiates, negotiates, and executes dental provider contracts and agreements for an organization that provides dental insurance. The Provider Contracting Professional 2 work assignments are varied and frequently require interpretation and independent determination of the appropriate courses of action. This is a VSP role - work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. The Dental Recontracting Professional - VSP will recontract Humana contracted dentists to our new agreement and as needed will communicates contract terms, payment structures, and reimbursement rates to providers. Maintains contracts and documentation within a tracking system. May assist with identifying and recruiting providers based on network composition and needs. Understands department, segment, and organizational strategy and operating objectives, including their linkages to related areas. Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures and work special projects as needed. This role is Variable Staffing Pool (VSP), Variable Staffing Pool Humana associates work specific hours to meet business needs on a limited term basis. The project is expected to go through mid-2027. This role is also eligible for limited benefits. Use your skills to make an impact Required Qualifications 2 - 5 years of experience negotiating managed care contracts with physician, hospital and/or other provider contracts and/or working with insurance in a dental office Proficiency in analyzing, understanding and communicating financial impact of contract terms, payment structures a

Become a part of our caring community The Provider Contracting Professional supports the West Region in the negotiation, analysis, and maintenance of physician and other provider agreements for an organization delivering healthcare to the senior population. You will assist with contract management activities, provides analytical support, and ensure accurate documentation within established processes and guidelines. You will report to a Director, Provider Contracting. Job Responsibilities: Support the contracting team in drafting, reviewing, and processing provider contracts and amendments Collaborate with market engagement, leadership, and legal teams to facilitate contract execution and resolve basic contract term revisions Assist in communicating contract terms, payment structures, and reimbursement rates to IPA and ACO provider groups under the guidance of senior staff Conduct initial financial analyses of contracts and terms; prepare summaries for senior review Maintain contract files and documentation within the organization's tracking system, ensuring accuracy and compliance Assist in identifying and reaching out to potential providers for network development based on current needs and network composition Prepare reports and updates for contracting initiatives as requested Manage assigned priorities and deadlines, escalating complex issues to senior team members Use your skills to make an impact Required Qualifications 2+ years' experience in provider contracting, network management, or a related healthcare field Knowledge of managed care or value-based contracting Understand contract terms and basic financial impact Preferred Qualifications Experience supporting ACO or IPA provider

Become a part of our caring community The Senior Compliance Professional ensures compliance with governmental requirements. The Senior Compliance Professional work assignments involve moderately complex to complex issues where the analysis of situations or data requires an in-depth evaluation of variable factors. Regulatory Compliance – State Enterprise Intake and Implementation – Senior Compliance Professional The Senior Compliance Professional implements new statues, regulations, rules and other regulatory guidance issued by state and federal regulators across the enterprise. Coordinates business partner engagement and implementation of rules. Researches compliance issues and recommends changes that ensure compliance with regulatory obligations. Provides compliance guidance and direction to business partners. Monitors metrics and other oversight tools that track implementation activity. Recommends new measures of compliance performance. Begins to influence department's strategy. Makes decisions on moderately complex to complex issues regarding implementation components. Exercises considerable latitude in determining objectives and approaches to assignments. The Senior Compliance Professional's primary focus will be to implement new federal and state rules, including PBM, across the enterprise. Key responsibilities may include: Serve as the subject matter expert and point-of-contact for individual state and federal implementations, leading implementation activity from onset to conclusion. Research, understand, and apply laws, regulations, and regulatory guidance for federal and state compliance issues. Analyze business requirements and complex issues, conduct research, and provide regulatory guidance to business partners, Law, Risk, and Compliance associate and leaders with regard to federal

Your wellbeing, our mission. Join a company shaping a healthier world. GET TO KNOW US At Wellhub we're revolutionizing workplace wellness. Our platform connects employees worldwide to the best partners for fitness, mindfulness, therapy, nutrition, and sleep—all in one simple subscription. Headquartered in NYC with team members in Europe, North America and South America, we’re on a mission to make every company a wellness company. We believe work should be fulfilling, inspiring, and balanced. Here, you’ll find a team that values wellbeing, collaboration, and different perspectives, where passion and creativity push boundaries to create real impact. Your contributions will help shape a healthier, more balanced world for you and millions of people globally. Join us in redefining the future of wellbeing! THE OPPORTUNITY We are hiring a Sales Operations Professional to join our Sales Operations team in Brazil ! YOUR IMPACT Own pipeline and forecasting execution: Drive the end-to-end forecast and pipeline review cadence for your assigned segment or region, enforcing data quality in Salesforce and tracking call-to-commit variances. Deliver actionable analytics: Build and maintain high-visibility Tableau and Metabase dashboards tracking rep productivity, quota attainment, and overall pipeline health. Shape territory and quota planning: Model annual quota, coverage, and headcount scenarios, leveraging historical data to deliver actionable strategic choices to senior management. Drive process improvements: Scope and execute cross-functional RevOps initiatives to optimize Salesforce tooling, accelerate pipeline velocity, and enhance forecast precision. Partner across teams: Collaborate with Sales and FP&A during business planning cycles to provide critical data modeling for quota setting and long-term revenue strategy. Champion operational excellence: Proactively identify hidden insights within roll-up data, streamline team do

Become a part of our caring community The Senior Quality Improvement Professional leads efforts to improve clinical quality and provider performance for the Humana Healthy Horizons in South Carolina Medicaid Plan. You will develop and implement cross-functional quality improvement initiatives, evaluate business processes and performance outcomes, and drive sustainable, measurable improvements. Reporting to the Quality Improvement Director, you will collaborate with internal and external stakeholders to advance a provider-focused culture of quality and performance excellence. You will manage complex projects and analyze diverse data sources to identify opportunities, inform strategy, and support organizational objectives. The Senior Quality Improvement Professional leverages data to lead quality improvement initiatives, monitor performance metrics, and support provider performance enhancement. This role collaborates with provider-facing teams to implement targeted interventions, develop educational resources, and drive achievement of quality and member experience goals. The position leads and participates in multidisciplinary committees, provides strategic clinical guidance on quality initiatives, and influences business decisions through data-driven insights. Operating with a high degree of independence, the Senior Quality Improvement Professional manages complex projects, exercises sound judgment, and recommends solutions to advance organizational objectives. Essential Role Responsibilities The Senior Quality Improvement Professional is responsible for improving clinical quality and performance outcomes among South Carolina network providers. Key responsibilities include: Partner with Provider Engagement, Network, and Contracting teams to implement clinical quality improvement strategies including education, training and performanc

Consumer Experience Professional — Kentucky. Apply via Workday.

Senior Business Systems Analysis Professional — 4 Locations. Apply via Workday.

AI Assistant (Professional) Job Summary We are looking for a proactive and technology-oriented AI Assistant (Professional) who can effectively use Artificial Intelligence, Information Technology, and digital tools to improve productivity, automate routine tasks, support decision-making, and facilitate day-to-day professional work. Key Responsibilities • Facilitate and manage all types of work using AI and Information Technologies. • Use AI tools and applications to improve efficiency, productivity, and work quality. • Research, analyse, organise, and present information using AI and digital technologies. • Assist in preparing reports, documents, presentations, data analysis, and other professional outputs. • Identify opportunities for AI-based automation and process improvement. • Use appropriate AI tools for drafting, summarising, analysing, researching, and managing information. • Support various departments and team members in adopting and effectively using AI tools. • Maintain proper documentation and records using digital systems. • Stay updated with the latest developments in AI, automation, software, and information technology. • Ensure responsible, accurate, and confidential use of AI and technology in professional work. • Perform any other technology-related or AI-enabled tasks assigned by management. Required Skills & Qualifications • Graduate in any relevant discipline; qualification in IT, Computer Applications, Business, Commerce, or related fields will be an advantage. • Strong understanding of AI tools, productivity applications, and information technology. • Good analytical, research, and problem-solving skills. • Excellent communication and documentation skills. • Ability to learn and implement new AI tools quickly. • Good knowledge of MS Office / Google Workspace and other digital applications. • Ability to handle multiple tasks and work independently. • High level of confidentiality, accuracy, and professional responsibility. Preferred • Practical

Quantitative Analytics Professional — McLean, VA. Apply via Workday.

Commercial and Professional Support Specialist — Milano. Apply via Workday.

Multifamily Underwriting Professional – Affordable Housing — McLean, VA. Apply via Workday.