[Remote] Healthcare Transformation Expert/Strategist
Note: The job is a remote job and is open to candidates in USA. Perficient is a global AI-first consultancy seeking a Healthcare Transformation Expert/Strategist to join their Healthcare and Life Science team. This role involves advising clients on value-based care and population health while providing strategic and tactical support across various healthcare domains.
Responsibilities
ā¢ Help payers and providers design and refine value-based and population health programs (ACOs, bundles, shared savings, capitation) that balance financial performance and quality outcomes
ā¢ Translate regulatory and market changes into clear implications and options for clients
ā¢ Partner with account and sales teams to shape proposals, respond to RFPs, and represent SME expertise in pursuit client meetings and oral presentations at the executive level as needed
ā¢ Contribute to scoping, solution narratives, and estimates for engagements
ā¢ Serve as the domain lead on client projects, ensuring scope, approach, and deliverables align client needs and industry best practices
ā¢ Work with project managers and analytics leads to prioritize use cases and guide recommendations
ā¢ Define the key questions, metrics, and segmentation needed to evaluate performance (e.g., cost, utilization, quality, risk)
ā¢ Interpret outputs from analytics teams (claims, EHR, population health platforms, etc.) and convert them into actionable guidance for business and clinical leaders
ā¢ Maintain working knowledge of major federal and state programs and regulations affecting value-based care/population health (e.g., CMS programs, MACRA/MIPS/APMs, Medicare Advantage, basic Stark/Anti-Kickback considerations)
ā¢ Partner with internal or client compliance/legal teams to ensure recommendations are implementable and appropriately reviewed
ā¢ Work with clinical leaders, finance, operations, IT, and population health teams to align strategies and support practical implementation
ā¢ Help teams design realistic workflows, governance, and operating models for value-based and population health initiatives
ā¢ Develop client-facing presentations, offerings, playbooks, and training sessions on value-based care, population health topics and related topics
ā¢ Contribute to internal or external white papers, webinars, and conference content
Skills
ā¢ 8ā12+ years of experience in one or more of: healthcare consulting, payer or provider strategy, population health management, or value-based care program leadership
ā¢ Demonstrated success in leading strategic initiatives and supporting sales/RFP efforts
ā¢ Demonstrated experience leading or materially contributing to at least one of the following: Launch or scaling of a value-based contract or program; Population health or care management initiative with measurable outcomes; Provider engagement or performance improvement program tied to value-based incentives
ā¢ Deep understanding of value-based care concepts, payment models, contract design, and population health strategies, with hands-on experience implementing or improving such programs
ā¢ Experience working with claims and/or clinical data outputs and population health or analytics platforms, in partnership with technical teams (you guide, they build)
ā¢ Comfort interpreting dashboards and analyses (e.g., cost/utilization trends, risk segments, quality metrics) and shaping recommendations
ā¢ Working knowledge of key healthcare regulatory and policy topics affecting value-based arrangements, with the ability to know when to bring in legal/compliance specialists
ā¢ Possesses a strong understanding of AI capabilities, limitations, and ethical considerations
ā¢ Proficient in leveraging AI technologies to drive innovation, support strategic initiatives, and enable data-driven decision-making
ā¢ Strong communication skills, able to explain complex programs and analytics in simple, executive-ready language
ā¢ Strategic and structured thinker, comfortable framing problems, options, and trade-offs
ā¢ Credible presence with senior payer and provider leaders; able to influence and build consensus
ā¢ Collaborative, low-ego style, able to partner with project managers, data teams, clinicians, and compliance/legal
ā¢ Comfortable working in an evolving environment and balancing multiple clients or initiatives
ā¢ Bachelor's degree in healthcare, business, technology or related fields
ā¢ Expectation for some travel and local-office on-site may be required (depending on location & requirements)
ā¢ Experience working with both payer and provider stakeholders is highly desirable; deep expertise in at least one side is required
ā¢ Hands-on experience with tools like Tableau, Power BI, or SQL is a plus but not required for day-to-day work
ā¢ Master's degree in healthcare, business, technology or related fields
Company Overview
ā¢ Perficient is an IT consulting firm that helps companies adapt their systems to third party software products that use internet. It was founded in 1998, and is headquartered in St Louis, Missouri, USA, with a workforce of 5001-10000 employees. Its website is http://www.perficient.com.
Company H1B Sponsorship
ā¢ Perficient has a track record of offering H1B sponsorships, with 154 in 2025, 147 in 2024, 156 in 2023, 196 in 2022, 175 in 2021, 223 in 2020. Please note that this does not guarantee sponsorship for this specific role.
Apply Now
Apply Now
Responsibilities
ā¢ Help payers and providers design and refine value-based and population health programs (ACOs, bundles, shared savings, capitation) that balance financial performance and quality outcomes
ā¢ Translate regulatory and market changes into clear implications and options for clients
ā¢ Partner with account and sales teams to shape proposals, respond to RFPs, and represent SME expertise in pursuit client meetings and oral presentations at the executive level as needed
ā¢ Contribute to scoping, solution narratives, and estimates for engagements
ā¢ Serve as the domain lead on client projects, ensuring scope, approach, and deliverables align client needs and industry best practices
ā¢ Work with project managers and analytics leads to prioritize use cases and guide recommendations
ā¢ Define the key questions, metrics, and segmentation needed to evaluate performance (e.g., cost, utilization, quality, risk)
ā¢ Interpret outputs from analytics teams (claims, EHR, population health platforms, etc.) and convert them into actionable guidance for business and clinical leaders
ā¢ Maintain working knowledge of major federal and state programs and regulations affecting value-based care/population health (e.g., CMS programs, MACRA/MIPS/APMs, Medicare Advantage, basic Stark/Anti-Kickback considerations)
ā¢ Partner with internal or client compliance/legal teams to ensure recommendations are implementable and appropriately reviewed
ā¢ Work with clinical leaders, finance, operations, IT, and population health teams to align strategies and support practical implementation
ā¢ Help teams design realistic workflows, governance, and operating models for value-based and population health initiatives
ā¢ Develop client-facing presentations, offerings, playbooks, and training sessions on value-based care, population health topics and related topics
ā¢ Contribute to internal or external white papers, webinars, and conference content
Skills
ā¢ 8ā12+ years of experience in one or more of: healthcare consulting, payer or provider strategy, population health management, or value-based care program leadership
ā¢ Demonstrated success in leading strategic initiatives and supporting sales/RFP efforts
ā¢ Demonstrated experience leading or materially contributing to at least one of the following: Launch or scaling of a value-based contract or program; Population health or care management initiative with measurable outcomes; Provider engagement or performance improvement program tied to value-based incentives
ā¢ Deep understanding of value-based care concepts, payment models, contract design, and population health strategies, with hands-on experience implementing or improving such programs
ā¢ Experience working with claims and/or clinical data outputs and population health or analytics platforms, in partnership with technical teams (you guide, they build)
ā¢ Comfort interpreting dashboards and analyses (e.g., cost/utilization trends, risk segments, quality metrics) and shaping recommendations
ā¢ Working knowledge of key healthcare regulatory and policy topics affecting value-based arrangements, with the ability to know when to bring in legal/compliance specialists
ā¢ Possesses a strong understanding of AI capabilities, limitations, and ethical considerations
ā¢ Proficient in leveraging AI technologies to drive innovation, support strategic initiatives, and enable data-driven decision-making
ā¢ Strong communication skills, able to explain complex programs and analytics in simple, executive-ready language
ā¢ Strategic and structured thinker, comfortable framing problems, options, and trade-offs
ā¢ Credible presence with senior payer and provider leaders; able to influence and build consensus
ā¢ Collaborative, low-ego style, able to partner with project managers, data teams, clinicians, and compliance/legal
ā¢ Comfortable working in an evolving environment and balancing multiple clients or initiatives
ā¢ Bachelor's degree in healthcare, business, technology or related fields
ā¢ Expectation for some travel and local-office on-site may be required (depending on location & requirements)
ā¢ Experience working with both payer and provider stakeholders is highly desirable; deep expertise in at least one side is required
ā¢ Hands-on experience with tools like Tableau, Power BI, or SQL is a plus but not required for day-to-day work
ā¢ Master's degree in healthcare, business, technology or related fields
Company Overview
ā¢ Perficient is an IT consulting firm that helps companies adapt their systems to third party software products that use internet. It was founded in 1998, and is headquartered in St Louis, Missouri, USA, with a workforce of 5001-10000 employees. Its website is http://www.perficient.com.
Company H1B Sponsorship
ā¢ Perficient has a track record of offering H1B sponsorships, with 154 in 2025, 147 in 2024, 156 in 2023, 196 in 2022, 175 in 2021, 223 in 2020. Please note that this does not guarantee sponsorship for this specific role.
Apply Now
Apply Now