Senior Consultant, Member Experience

Qualtrics; United States; Remote; USD 126,000 - 153,000; Full time

Benefits offered by this job

Healthcare premiums paid for employees

Wellness allowances

Career action planning

401(k) with match

Job summary

Qualtrics is seeking a Senior Consultant, Member Experience to unite health plans and providers, elevating patient and member journeys through evidence-based solutions. You will drive cross-functional advisory efforts, lead quality-improvement initiatives, and collaborate with executives to deliver measurable outcomes.

The role emphasizes bridging payer-provider gaps, delivering workshops, and interpreting performance metrics (CAHPS/HEDIS/HOS).

Qualifications

• Bachelor’s degree required; Master’s preferred.
• Experience in healthcare operations or provider relations is a plus.
• Strong data interpretation and reporting skills with CAHPS/HEDIS knowledge a plus.
• Ability to travel nationwide as needed.
• Proven advisory and facilitation capabilities with executive-level audiences.

Responsibilities

• Bridge payer-provider relationships to align on shared quality goals.
• Lead operational improvement initiatives using PDSA cycles.
• Deliver virtual and onsite workshops, town halls, and coaching sessions.
• Analyze CAHPS, HEDIS, HOS, and Star Ratings data to identify gaps.
• Manage end-to-end client engagements with timelines and milestones.

Skills

Stakeholder management

Data analysis

Project coordination

Facilitation

Communication

Education

Bachelor’s degree

Master’s degree

Tools

Microsoft Office

Job description

At Qualtrics, we create software the world’s best brands use to deliver exceptional frontline experiences, build high-performing teams, and design products people love. But we are more than a platform—we are the creators and stewards of the Experience Management category serving over 18K clients globally. Building a category takes grit, determination, and a disdain for convention—but most of all it requires close-knit, high-functioning teams with an unwavering dedication to serving our customers.

When you join one of our teams, you’ll be part of a nimble group that’s empowered to set aggressive goals and move fast to achieve them. Strategic risks are encouraged and complex problems are solved together, by passing the mic and iterating until the best solution comes to light. You won’t have to look to find growth opportunities—ready or not, they’ll find you. From retail to government to healthcare, we’re on a mission to bring humanity, connection, and empathy back to business. Join over 5,000 people across the globe who think that’s work worth doing.

Senior Consultant, Member Experience

The Role

Health plans and healthcare providers are navigating an increasingly complex landscape marked by evolving quality frameworks, shifting regulatory standards, and rising expectations from the populations they serve. As a Senior Consultant in Member Experience, you will serve as a trusted advisor bringing health plans and healthcare providers together.

In this role, you will be at the forefront of a major industry shift: bridging the traditional divide between payers and providers to improve the end-to-end patient and member journey. Working directly with health plan leaders, medical groups, and clinical operations teams, you will combine deep operational healthcare knowledge with proven continuous improvement methodologies to build strong cross-entity partnerships, elevate quality metrics, and drive measurable performance across Star Ratings and CAHPS. If you are passionate about being a change agent whose work directly impacts the care and lives of millions of people nationwide, this role is for you.

How You’ll Find Success

• Payer-Provider Bridge Builder: Understands the operational realities of both health plans and medical provider groups; builds genuine collaboration and trust across executive leaders, physician groups, and clinical staff.
• Continuous Improvement Driver: Skilled in applying structured problem-solving and quality improvement frameworks (e.g., Plan-Do-Study-Act / PDSA cycles) to uncover root causes and build sustainable operational workflows.
• Coach & Facilitator: Comfortably engages and trains diverse audiences—from executive roundtables and town halls to clinic managers and frontline teams—through interactive virtual sessions and hands‑on onsite workshops.
• Data-to-Action Interpreter: Adept at reading and interpreting complex performance metrics (CAHPS, HEDIS, HOS, Star Ratings) and translating them into clear, practical roadmaps without getting lost in technical reporting.
• Adaptable & Client‑Centric: Thrives in a dynamic consulting environment, easily shifting between strategic advisory, remote delivery, and onsite client facilitation across diverse regions.

How You’ll Grow

• Expand Scope of Influence: Broaden your reach beyond a single health system or payer to guide dozens of medical groups and major regional/national health plans across the country.
• Lead Cutting-Edge Transformation: Be an active driver in one of healthcare’s most critical evolutions—uniting health plans and provider networks into collaborative care partners.
• Hone Executive Advisory & Facilitation: Deepen your expertise in leading high‑stakes client engagements, executive coaching, office hours, and collaborative exchange programs.
• Deepen Quality & Regulatory Expertise: Strengthen your mastery of modern healthcare quality programs, value‑based care models, Medicare Advantage Star Ratings, Medicaid, and Commercial lines of business.

Things You’ll Do

• Bridge Health Plans & Provider Networks: Collaborate with health plan liaison teams and medical practices to align on shared quality goals, improve communications, and strengthen provider‑payer relationships.
• Drive Direct Performance Improvement: Partner with provider practices and clinical groups to lead operational improvement initiatives, utilizing methodologies such as Plan-Do-Study-Act (PDSA) to enhance patient and member interactions.
• Facilitate Training & Coaching: Deliver impactful virtual and onsite workshops, town halls, office hours, and coaching sessions through collaborative initiatives (such as our HX Exchange program).
• Interpret Performance & Survey Metrics: Analyze and interpret CAHPS, HEDIS, HOS, and Star Ratings data alongside operational metrics to identify performance gaps and track measurable progress.
• Manage End-to-End Client Engagements: Lead client project scopes, stakeholder alignment, and delivery timelines, ensuring initiatives translate into sustainable, measurable outcomes.

What We’re Looking For On Your Resume

• Experience: 5+ years of relevant experience in healthcare operations, performance improvement, provider relations, or health plan operations.
• Provider Operations Background: Strong background working directly within healthcare provider settings (e.g., as a Practice Manager, Practice Director, Clinic Operations Lead, or Provider Relations Specialist) with direct insight into clinic workflows and clinical staff engagement.
• Dual Payer/Provider Experience (Strong Plus): Exposure to both health plan/payer operations (e.g., Medicare Advantage, Commercial, or Medicaid) and provider environments is highly preferred.
• Quality & Survey Frameworks: Practical familiarity with healthcare quality metrics and survey frameworks, including CAHPS, HCAHPS, HEDIS, HOS, Patient Experience (PX), and Value-Based Care programs.
• Core Tool Proficiency: Strong proficiency in Microsoft Office (PowerPoint, Excel, Word), with the demonstrated ability to review, interpret, and present data-driven insights effectively.
• Education: Bachelor’s degree required; Master’s degree preferred.
• Travel Flexibility: Ability and willingness to travel nationwide based on client needs (ttravel is client-dependent and can range from remote periods up to 75% travel during onsite engagements).

What You Should Know About This Team

High-Impact Work: Our team directly influences the care experience and health outcomes of millions of members nationwide. This is accomplished by the team's passion to work collaboratively with both payers and providers to enhance the patient/member experience.

Collaborative & Advisory-Led: We work hand-in-hand with our clients and internal cross-functional experts, building true partnerships to support change management that is meaningful for both payers and providers.

Commitment to Growth: Continuous learning is embedded in how we work; team members are given immediate autonomy, executive visibility, and opportunities to stretch their skills across diverse client challenges.

Data-Driven & Purpose-Focused: We combine rigorous analytical methodology with a deep human-centered purpose to navigate the evolving healthcare ecosystem.

Nationwide Scale & Purpose: Our team shapes the member and patient experience across the country, from regional health plans to large national health systems, touching millions of lives.

Our Team’s Favorite Perks and Benefits

• We participate in personalized Career Action Planning. You will work with your manager to design a plan based on your life experiences, values, and career aspirations (inside and outside Qualtrics) that helps you achieve your career goals at Qualtrics.
• Qualtrics pays 100% of the healthcare benefit premiums for employees and their dependents.
• Variable allowances for wellness, meals, transportation, and more.
• Qualtrics is an equal opportunity employer meaning that all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other protected characteristic.
• Applicants in the United States of America have rights under Federal Employment Laws:Family & Medical Leave Act, Equal Opportunity Employment, Employee Polygraph Protection Act
• Qualtrics is committed to the inclusion of all qualified individuals. As part of this commitment, Qualtrics will ensure that persons with disabilities are provided with reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please let your Qualtrics contact/recruiter know.

Remote Base Annual Pay Transparency Range

$126,000—$153,000 USD

For full-time positions, this pay range is for base per year; however, base pay offered within this range may vary depending on location, job-related knowledge, education, skills, and experience. A sign-on bonus and restricted stock units may be included in an employment offer. Full-time employees are eligible for medical, dental, vision, life and disability, 401(k) with match, paid time off, a wellness reimbursement, and mental health benefits. For a detailed look at our benefits, visit Qualtrics US Benefits.