Job Summary We are seeking a Care Management Platform Consultant to support a health plan client through the final phases of a care management platform implementation. This role will focus on workflow design, system configuration, testing support, and go-live readiness. The ideal candidate has experience working with care management platforms such as Helios, GuidingCare, Jiva, CareProminence, CareAdvance, or similar systems and can translate business and clinical workflows into system functionality.
Responsibilities - Support workflow design, configuration, and validation for a care management platform implementation
- Translate operational and clinical requirements into system behavior and configuration
- Configure and validate rules, triggers, member identification logic, cohorts, workflows, and related functionality
- Partner with client teams during testing to troubleshoot issues and confirm expected outcomes
- Support UAT, defect triage, and go-live readiness activities
- Facilitate discussions with clinical, operational, and technical stakeholders
- Identify gaps between requirements, workflow design, and system configuration
- Provide practical recommendations to improve workflow efficiency and platform usability
- Support implementation of new platform functionality as it is released
Required Qualifications - 5+ years of experience supporting care management, utilization management, population health, or health plan operat
- Hands-on experience with at least one care management platform, such as: Helios / VirtualHealth, GuidingCare, Jiva / ZeOmega, CareProminence, CareAdvance / MHK, Similar care management or population health platforms
- Experience translating workflows into system configuration
- Strong understanding of rules-based workflows, triggers, member identification, cohorting, or care management automation
- Experience supporting testing, UAT, issue resolution, or implementation readiness
- Strong client-facing communication skills
Preferred Qualifications - Prior Helios / VirtualHealth experience
- Clinical background such as RN, LCSW, or similar
- Experience supporting Medicare, Medicaid, or commercial health plan populations
- Prior experience with late-stage implementations, go-live support, or system stabilization
- bility to work across business, clinical, and technical teams
