• Serve as MCG’s principal subject matter expert and escalation authority for payer workflows, interoperability, integration architecture, and healthcare data flows across customer implementations and internal initiatives.
• Lead complex workflow discovery and implementation advisory engagements to define integration strategies, clarify operational requirements, and guide solution design within diverse payer environments.
• Advise implementation teams and customers on how MCG solutions integrate into complex payer operational and technical ecosystems, including utilization management workflows such as prior authorization.
• Identify and resolve highly complex workflow, interoperability, and integration risks, gaps, dependencies, and implementation challenges, recommending scalable mitigation strategies and alternative approaches where standard solutions are insufficient.
• Partner cross-functionally with Product, Engineering, Implementation, Sales, and customer stakeholders to align solution design, integration strategy, technical dependencies, and implementation execution.
• Translate complex operational and technical concepts into clear, actionable guidance for technical teams, business stakeholders, and customers.
• Facilitate working sessions with internal teams and customers to align on workflows, integration points, data dependencies, interoperability considerations, and implementation approaches.
• Establish and evolve scalable implementation frameworks, standards, reusable assets, workflow models, and best practices that improve consistency, predictability, and organizational capability across payer integration engagements.
• Analyze implementation trends and recurring workflow or interoperability challenges to identify opportunities for process improvement, scalability, and operational efficiency.
• Provide expert consultation and real-time workflow and integration guidance during customer engagements, reducing dependency on Product and Engineering resources for operational interpretation and implementation support.
• Provide functional leadership, mentorship, and subject matter guidance to implementation team members on payer operations, interoperability concepts, integration strategy, and complex issue resolution.
• Serve as a senior advisor during customer strategy and pre-implementation discussions to assess feasibility, clarify integration considerations, and align implementation expectations.
• Provide customer-driven feedback to Product and Engineering teams regarding workflow gaps, interoperability challenges, implementation friction points, and enhancement opportunities.
• Develop knowledge aids and support cross-functional enablement efforts to strengthen payer workflow and integration knowledge across implementation and customer-facing teams.
• Use AI-enabled tools and technologies appropriately to improve implementation efficiency, workflow analysis, documentation quality, and knowledge-sharing while ensuring accuracy, security, and alignment with organizational standards.