Business Transformation Consultant

NLB Services; United States; Remote; USD 82,656,000 - 123,984,000; Part time

Job summary

A leading healthcare solutions provider is seeking a Business Transformation Advisor to guide clients through strategic implementation of integrated solutions. The ideal candidate will have over 7 years of experience in self-insured TPA or health plans, with a strong understanding of critical TPA functions such as claims processing and benefit design. This remote role requires excellent communication and relationship-building skills to ensure client satisfaction and successful project outcomes.

Qualifications

• 7+ years of experience in a self-insured TPA or health plan environment.
• Strong experience in claims processing, benefit design, and eligibility.
• Proven ability to advise clients on migration strategies and scalable designs.

Responsibilities

• Guide clients through complex implementation decisions.
• Design solutions prioritizing usability and scalability.
• Lead discovery sessions and solution design discussions.
• Lead discovery sessions, solution design discussions, and configuration strategies.
• Ensure implementation quality and long-term sustainability.
• Mentor team members and contribute to best-practice playbooks.

Skills

Client-facing expertise

Critical TPA functions knowledge

Executive-level communication

Relationship-building skills

Eligibility

Stop-loss administration

EDI platforms

Executive communication

Tools

EDI platforms

Job description

🚀 Business Transformation Advisor (Contract – Remote)

Location: Remote

Job Type: Contract

At Client, we’re on a mission to make the healthcare experience better for everyone. We help organizations simplify complex operations through fully integrated solutions spanning claims and benefits administration, revenue cycle management, provider and network management, care coordination, and automation tools. Our technology drives efficiency, accuracy, and better outcomes for millions of people who rely on their health benefits every day.

We’re seeking a Business Transformation Advisor – a senior, client-facing role that blends deep TPA industry expertise with advanced platform knowledge to guide clients through strategic configuration and solution design.

What You’ll Do

• Act as a trusted advisor, guiding clients through complex implementation decisions.
• Design solutions that prioritize usability, scalability, and ROI.
• Partner with Project Management, Configuration, Training, Data Integration, and Product teams to translate business needs into clear, scalable workflows.
• Lead discovery sessions, solution design discussions, and configuration strategies.
• Ensure implementation quality and long-term sustainability.
• Mentor team members and contribute to best-practice playbooks.
• 7+ years of experience in a self-insured TPA or health plan environment.
• Strong experience of critical TPA functions: claims processing, benefit design, eligibility, stop-loss adminisration, accounting and billing.
• Proven ability to advise clients on migration strategies and scalable system designs.
• Executive-level communication and relationship-building skills.
• Hands-on experience with claims, eligibility, provider, and integration/EDI platforms.