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TC

Healthcare Operations Expert for AI Ops Workshop

TechDigital Corporation
๐ŸŒ Worldwide
Remote
4 months ago
  • prior authorization
  • Lean Six Sigma
  • AI
  • RPA
  • Machine Learning
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IdealProfile:The ideal consultant has hands-on healthcare operations experience in one or more of the following areas:
  • Mailbox operations, fax intake, document intake, correspondence processing, or healthcare fulfillment operations.
  • Medicare/payer operations.
  • Member services, enrollment, fulfillment, prior authorization support, appeals/grievances, or claims operations.
  • Healthcare back-office operations and exception handling.
  • Contact center / shared services operations in healthcare.
  • Process improvement, Lean/Six Sigma, operational excellence, or workflow transformation.
  • AI/automation discovery exposure is a plus, but healthcare operations depth is more important.

Responsibilities

  • Participate in discovery sessions and workshops with Indium and customer stakeholders.
  • Help map current-state mailbox fulfillment processes, fax/document intake flows, handoffs, queues, exception paths, and operational pain points.
  • Identify where AI, workflow automation, decision support, document understanding, or agentic automation can create value.
  • Help define use-case candidates with business outcomes, operational KPIs, assumptions, and risks.
  • Support prioritization of use cases based on value, feasibility, data availability, and adoption complexity.
  • Help Indium prepare workshop outputs such as process observations, use-case backlog, value hypothesis, and pilot recommendations.

Required Skills

  • Strong understanding of healthcare operations.
  • Ability to ask good discovery questions and uncover process realities.
  • Familiarity with operational KPIs such as turnaround time, backlog, SLA, quality, error/rework, productivity, and exception rate.
  • Ability to work with business and technology teams.
  • Strong communication and workshop facilitation skills.
  • Practical mindset: able to distinguish attractive AI ideas from operationally feasible pilots.

Nice To Have

  • Experience in mailbox/fax operations, document intake, fulfillment, PBM, Medicare Advantage, payer back-office operations, or healthcare correspondence workflows.
  • Experience with automation / AI workshops, process mining, RPA, workflow tools, or GenAI use-case discovery.
  • Experience writing BRDs, SOPs, process maps, or transformation roadmaps.

Expected Output

By the end of the engagement, the consultant should help Indium produce:
  • Current-state operating observations.
  • Top pain points / friction areas in Mailbox Fulfillment.
  • Prioritized AI use-case list.
  • Recommended workshop questions and facilitation plan.
  • Initial value hypothesis and pilot recommendations.

Healthcare Operations Expert for AI Ops Workshop ยท TechDigital Corporation

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