Required Knowledge, Skills, and Abilities:
- Advanced knowledge of healthcare payer operations, servicing experience, product adoption, customer experience, and market pressures, with the ability to connect complex customer challenges to product-enabled business outcomes
- Advanced knowledge of customer service and experience operations, including contact center performance, first call resolution, average handle time, containment rate, member satisfaction, adoption, usage, operational efficiency, and value realization metrics
- Advanced consulting skills, including discovery design, stakeholder interviewing, process mapping, gap analysis, root cause analysis, business case development, value modeling, requirements framing, roadmap development, and recommendation storytelling
- Ability to analyze quantitative and qualitative data, quantify operational and financial impact, pressure-test assumptions, and build ROI analyses that support customer scrutiny and executive decision making
- Strong executive communication, facilitation, and storytelling skills, including the ability to synthesize ambiguous information, lead workshops and decision forums, and tailor messaging for operational, technical, commercial, and executive audiences
- Strong customer relationship management, stakeholder engagement, consultative influence, and conflict navigation skills, including the ability to build trust and align stakeholders with differing priorities
- Ability to lead multiple engagements or complex workstreams simultaneously, including scope, schedule, budget, risks, issues, decisions, escalations, stakeholder expectations, and engagement quality
- Proficiency with Microsoft Office Suite and related collaboration, analysis, presentation, and productivity tools, including advanced PowerPoint and executive-ready written deliverables
- Ability to mentor others, improve consulting methods, contribute to practice standards, and model sound judgment in customer-facing advisory situations
- Ability to appropriately use approved AI-enabled productivity, research, analysis, and content-generation tools in accordance with company policy, data privacy, security, governance, healthcare data handling requirements, and responsible AI principles
Preferred Knowledge, Skills and Abilities
- Experience with Pega or a comparable CRM and customer service platform in a payer or enterprise environment
- Knowledge of Blue Cross Blue Shield plan operations or inter-plan programs
- Familiarity with core payer administration platforms spanning claims, membership, enrollment, and billing
- Experience in a fee-based professional services or commercial consulting environment
- Experience with AI-enabled service technologies, including conversational AI, agent assist, and intelligent workflow automation
Experience:
- 7 years of experience in healthcare operations, product consulting, customer success, solutions consulting, professional services, business consulting, or related customer-facing advisory work
- 5 years of experience working with healthcare payer operations, service operations, contact center operations, product delivery, or technology-enabled business transformation
- 3 years of experience leading customer-facing consulting engagements, complex workstreams, assessments, implementations, or advisory projects with measurable outcomes
- Experience presenting findings, recommendations, business cases, roadmaps, or value realization results to director-level or executive stakeholders
- Experience developing executive-ready deliverables, business cases, process maps, recommendations, value models, or roadmaps for internal or external stakeholders
- Experience working cross-functionally with product, technology, operations, implementation, customer success, sales, account management, or professional services teams
- Experience mentoring peers, guiding project contributors, or improving reusable consulting assets, methods, templates, or delivery standards
Required Training, Certification and Education:
- Bachelor’s degree in Business Administration, Healthcare Administration, Information Technology, Product Management, Marketing, Operations, or related field or equivalent experience
Preferred Training, Certification and Education:
- Certification or training in product management, project management, process improvement, customer success, healthcare operations, design thinking, change management, or agile methodologies
- Training or certification related to CRM platforms, contact center technologies, AI-enabled service tools, healthcare payer systems, or business analysis
Working Conditions:
- Remote/Home Office
- Well-lighted, heated and/or air conditioned indoor office setting with adequate ventilation
- Must be able to use equipment at workstation for up to 8 hours daily
- Flexibility to travel approximately 20% of the time
- May require participation in customer meetings, workshops, or executive readouts across multiple time zones
- Requires regular use of phone, video conferencing, collaboration tools, and standard office technology
Benefits Overview
At NASCO, we trust our workforce to be fully remote, working from their home. This benefit offers significant, personalized outcomes for each associate including work/life balance, savings on commuting, work clothing, and increased time to spend on personal activities.
Our full benefit package is designed to support the physical, mental, and financial health of our associates. We offer:
Physical and Mental Health Benefits
- Choice of Blue Cross Blue Shield Medical, Dental, and Vision Plans
- Telehealthcare – for Medical and Behavioral visits
- Generous PTO with buy/sell options
- 9 Company holidays, a floating day off, and a day off for volunteering
- Employee Assistance Program
- Wellness program - earn insurance discounts or credit towards health-related items
Financial Health Benefits
- 401K Plan with employer matching contributions
- Company-funded spending/reimbursement accounts to help with out-of-pocket medical expenses
- Bonus and Recognition programs
- Tuition Assistance
- Consultation with financial planner
- Basic Life & AD&D Insurance, Short and Long-Term Disability Insurance provided, and Supplemental Term Life Insurance is available
- Group Discount programs - mobile, technology services, etc., to help you save money
Other Benefits
- E-Learning – Comprehensive and current library of e-learning and performance support assets, available on demand and at no cost
All qualified applicants will receive consideration for employment without regard to, among other grounds, race, color, religion, national origin, sexual orientation, age, gender identity, protected veteran status or status as an individual with a disability. Must have legal authority to work in the US.
We will not accept applicants that use AI when answering the screening questions. Applicants who use AI to answer any questions or to complete their application will not be considered for employment.