Business Process Reengineering (BPR) Consultant Healthcare Payer Location: NYC- Work from office at least 3 days from office Experience 6 12+ years (Healthcare Payer domain with Business Process ...
Business Process Reengineering (BPR) Consultant Healthcare Payer Location: NYC- Work from office at least 3 days from office Experience 6 12+ years (Healthcare Payer domain with Business Process ...
Director, Business Operations
Manhattan, NY ยท On-site
Lead strategic operational initiatives and business process reengineering across the clinical and sponsored research lifecycles (e.g., study start-up, contracting, budgeting, award set-up, post-award ...
Director, Business Operations
Manhattan, NY ยท On-site
Lead strategic operational initiatives and business process reengineering across the clinical and sponsored research lifecycles (e.g., study start-up, contracting, budgeting, award set-up, post-award ...
Director, Business Operations
New York, NY ยท On-site
Lead strategic operational initiatives and business process reengineering across the clinical and sponsored research lifecycles (e.g., study start-up, contracting, budgeting, award set-up, post-award ...
Director, Business Operations
New York, NY ยท On-site
Lead strategic operational initiatives and business process reengineering across the clinical and sponsored research lifecycles (e.g., study start-up, contracting, budgeting, award set-up, post-award ...
Director, Business Operations
Manhattan, NY ยท On-site
Lead strategic operational initiatives and business process reengineering across the clinical and sponsored research lifecycles (e.g., study start-up, contracting, budgeting, award set-up, post-award ...
Director, Business Operations
Manhattan, NY ยท On-site
Lead strategic operational initiatives and business process reengineering across the clinical and sponsored research lifecycles (e.g., study start-up, contracting, budgeting, award set-up, post-award ...
Business process reengineering and workflow documentation experience * Technical comfort with reporting, integrations, or data conversion is a plus Other Details * Onsite role, Monday-Friday * Full ...
Quick apply
Business process reengineering and workflow documentation experience * Technical comfort with reporting, integrations, or data conversion is a plus Other Details * Onsite role, Monday-Friday * Full ...
Process Specialist
Stamford, CT ยท On-site
Utilizing innovative business excellence frameworks, ongoing productivity improvements, process reengineering, automation, and cutting-edge technology platforms, Infosys BPM enables its clients to ...
Process Specialist
Stamford, CT ยท On-site
Utilizing innovative business excellence frameworks, ongoing productivity improvements, process reengineering, automation, and cutting-edge technology platforms, Infosys BPM enables its clients to ...
Track business process reengineering performance against identified opportunities and KPIs (both efficiencies and growth) in conjunction with HR and DIT executive leadership and project management ...
Track business process reengineering performance against identified opportunities and KPIs (both efficiencies and growth) in conjunction with HR and DIT executive leadership and project management ...
You will partner with business leadership to prioritize transformation opportunities, lead process reengineering initiatives, and ensure that automation and technology decisions are grounded in ...
You will partner with business leadership to prioritize transformation opportunities, lead process reengineering initiatives, and ensure that automation and technology decisions are grounded in ...
Payments Business Analyst
Jersey City, NJ ยท On-site
Job Title: Business Analyst Location: Jersey City, NJ (onsite) Job Type: Full time Payments ... Process Reengineering, Knowledge of Payment Platforms (GPP, ACI, FIS, Temenos), Cross-Border ...
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Payments Business Analyst
Jersey City, NJ ยท On-site
Job Title: Business Analyst Location: Jersey City, NJ (onsite) Job Type: Full time Payments ... Process Reengineering, Knowledge of Payment Platforms (GPP, ACI, FIS, Temenos), Cross-Border ...
Lead regional process improvement initiatives using methodologies such as Lean, Agile, Kaizen, and business process reengineering. Identify and eliminate process inefficiencies and variation across ...
Lead regional process improvement initiatives using methodologies such as Lean, Agile, Kaizen, and business process reengineering. Identify and eliminate process inefficiencies and variation across ...
Process Specialist
Stamford, CT ยท On-site
Utilizing innovative business excellence frameworks, ongoing productivity improvements, process reengineering , automation , and cutting-edge technology platforms, Infosys BPM enables its clients to ...
Process Specialist
Stamford, CT ยท On-site
Utilizing innovative business excellence frameworks, ongoing productivity improvements, process reengineering , automation , and cutting-edge technology platforms, Infosys BPM enables its clients to ...
You will partner with business leadership to prioritize transformation opportunities, lead process reengineering initiatives, and ensure that automation and technology decisions are grounded in ...
You will partner with business leadership to prioritize transformation opportunities, lead process reengineering initiatives, and ensure that automation and technology decisions are grounded in ...
You will partner with business leadership to prioritize transformation opportunities, lead process reengineering initiatives, and ensure that automation and technology decisions are grounded in ...
You will partner with business leadership to prioritize transformation opportunities, lead process reengineering initiatives, and ensure that automation and technology decisions are grounded in ...
At least 2 years experience in Knowledge of traditional process improvement techniques such as business process reengineering and six sigma applied within a Hyperion HFM implementation is a plus.
At least 2 years experience in Knowledge of traditional process improvement techniques such as business process reengineering and six sigma applied within a Hyperion HFM implementation is a plus.
Software Application Specialist
New York, NY ยท Remote
$98K - $127K/yr
Business Process Reengineering: Facilitate business process reengineering initiatives by analyzing workflows and recommending innovative changes. Lead workshops and discussions to collaboratively ...
Software Application Specialist
New York, NY ยท Remote
$98K - $127K/yr
Business Process Reengineering: Facilitate business process reengineering initiatives by analyzing workflows and recommending innovative changes. Lead workshops and discussions to collaboratively ...
Hyperion Planning Senior Managing Consultant : Must live near major US airport
New York, NY ยท Hybrid
At least 2 years experience in traditional process improvement techniques such as business process reengineering and six sigma applied within a Hyperion Planning implementation is a plus * Readiness ...
Hyperion Planning Senior Managing Consultant : Must live near major US airport
New York, NY ยท Hybrid
At least 2 years experience in traditional process improvement techniques such as business process reengineering and six sigma applied within a Hyperion Planning implementation is a plus * Readiness ...
... and business process reengineering, utilizing ITIL V3 2011 best practices, focused on HP Asset Manager, HP Service Manager, HP Connect-It. Qualifications HP Asset Manager 3.x, 4.x, 5.x & 9.x ...
... and business process reengineering, utilizing ITIL V3 2011 best practices, focused on HP Asset Manager, HP Service Manager, HP Connect-It. Qualifications HP Asset Manager 3.x, 4.x, 5.x & 9.x ...
Positioned at the intersection of process reengineering and technology, theWMSSTeam leads large ... Business Analysis & Testing : Conduct comprehensive business analysis to define detailed ...
Positioned at the intersection of process reengineering and technology, theWMSSTeam leads large ... Business Analysis & Testing : Conduct comprehensive business analysis to define detailed ...
Wealth Management Strategic Solutions Product Owner/Business Analyst - Associate
Purchase, NY ยท On-site
Positioned at the intersection of process reengineering and technology, the WMSS Team leads large ... Business Analysis & Testing : Conduct comprehensive business analysis to define detailed ...
Wealth Management Strategic Solutions Product Owner/Business Analyst - Associate
Purchase, NY ยท On-site
Positioned at the intersection of process reengineering and technology, the WMSS Team leads large ... Business Analysis & Testing : Conduct comprehensive business analysis to define detailed ...
Senior Project Manager
Brooklyn, NY ยท On-site
Identify and recommend process improvement opportunities through standardization, automation, and business process reengineering (BPR). * Serve as the primary point of contact for overall project ...
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Senior Project Manager
Brooklyn, NY ยท On-site
Identify and recommend process improvement opportunities through standardization, automation, and business process reengineering (BPR). * Serve as the primary point of contact for overall project ...
Business Process Reengineering information
What are common challenges in business process reengineering and how can they be addressed?
What are the key skills and qualifications needed to thrive as a business process reengineering specialist?
What is the difference between Business Process Reengineering vs Business Analyst?
| Aspect | Business Process Reengineering | Business Analyst |
|---|---|---|
| Primary Focus | Radical redesign of processes to improve performance | Analyzing and documenting business needs and solutions |
| Skills & Certifications | Process management, project management, change management | Requirements gathering, data analysis, communication skills |
| Work Environment | Cross-functional teams, strategic projects | Stakeholder engagement, project teams |
| Industry Usage | Manufacturing, finance, healthcare | IT, finance, consulting |
While Business Process Reengineering focuses on radically redesigning processes for significant improvements, Business Analysts concentrate on analyzing current processes and requirements to support incremental enhancements. Both roles are essential for organizational efficiency but differ in scope and approach.

Business Process Reengineering (BPR) Consultant Healthcare Payer
Manhattan, NY โข On-site
Other
This job post hasย expired today.ย Applications are no longer accepted.
Job description
Job Title: Business Process Reengineering (BPR) Consultant Healthcare Payer
Location: NYC- Work from office at least 3 days from office
Experience
6 12+ years (Healthcare Payer domain with Business Process Transformation experience)
Job Summary
We are seeking an experienced Business Process Reengineering (BPR) Consultant with strong expertise in the healthcare payer industry to analyze, redesign, and optimize business processes across payer operations. The ideal candidate will possess deep knowledge of healthcare payer functions, process improvement methodologies, digital transformation, and stakeholder management. This role involves collaborating with business and technology teams to improve operational efficiency, enhance member and provider experience, reduce costs, and support strategic transformation initiatives.
Healthcare Payer Domain Expertise
Lead or support transformation initiatives across functions such as:
- Member enrollment and eligibility
- Claims intake, adjudication, and payment
- Provider contracting and credentialing
- Provider network management
- Utilization Management (UM)
- Care Management (CM)
- Case Management
- Prior Authorization
- Appeals and Grievances
- Customer Service / Contact Center
- Payment Integrity
- Coordination of Benefits
- Risk Adjustment
- Quality programs (HEDIS, STAR Ratings)
- Value-Based Care operations
Required Qualifications
- Bachelor's degree in Business, Engineering, Healthcare Administration, Information Systems, or a related field.
- 6 12+ years of experience in Business Process Reengineering, Process Excellence, Consulting, or Business Transformation.
- At least 4 6 years of experience in the healthcare payer industry.
- Strong understanding of commercial, Medicare, and/or Medicaid payer operations.
- Experience documenting As-Is and To-Be processes.
- Strong analytical and problem-solving skills.
- Excellent communication, facilitation, and stakeholder management abilities.
Preferred Qualifications
- Master's degree (MBA, MHA, or related discipline).
- Lean Six Sigma Green Belt or Black Belt certification.
- BPM certification (CBPP or equivalent).
- Experience with Agile methodologies.
- Knowledge of healthcare interoperability standards (HL7, FHIR, X12) is an advantage.
Required Skills
Business Process
- Business Process Reengineering (BPR)
- Business Process Management (BPM)
- Process Mapping
- Process Mining
- Value Stream Mapping
- Operating Model Design
- SOP Development
- Continuous Improvement
- Root Cause Analysis
Healthcare Payer
- Claims Operations
- Enrollment & Eligibility
- Provider Operations
- Medical Management
- Prior Authorization
- Appeals & Grievances
- Payment Integrity
- Risk Adjustment
- Medicare & Medicaid
- Commercial Health Insurance
Technology
- BPM platforms (e.g., Pega, Appian, IBM BPM, Camunda)
- Process modeling tools (Visio, Lucidchart, Signavio, ARIS)
- Microsoft Power Platform
- RPA (UiPath, Automation Anywhere, Blue Prism)
- Data visualization tools (Power BI, Tableau)
- SQL (preferred)
Methodologies
- Lean
- Six Sigma
- Design Thinking
- Agile
- Change Management
- Project Management
Key Competencies
- Strategic thinking
- Process optimization
- Business analysis
- Consulting and facilitation
- Executive communication
- Cross-functional collaboration
- Data-driven decision-making
- Customer-centric mindset
- Leadership and influence
Success Metrics
- Reduction in process cycle time
- Improvement in claims accuracy and first-pass adjudication
- Increased automation and straight-through processing
- Cost savings through process optimization
- Improved provider and member satisfaction
- Compliance with regulatory requirements
- Achievement of operational KPI targets
Preferred Industry Experience
- Commercial Health Insurance
- Medicare Advantage
- Medicaid Managed Care
- Third-Party Administrators (TPAs)
- Healthcare BPO/KPO
- Healthcare Consulting
- Managed Care Organizations (MCOs)
Nice-to-Have Experience
- Digital transformation programs
- AI-enabled process optimization
- Process mining tools (Celonis, SAP Signavio Process Intelligence)
- Cloud-based healthcare platforms
- Enterprise transformation initiatives
- Vendor and outsourcing management