Jobs at Brightleaf

Lead design and delivery of enterprise Salesforce solutions (Health/Service/Marketing Clouds) for healthcare payers. Architect data models, security, integrations (EHRs/claims), CI/CD, and provide technical leadership, assessments, and stakeholder-facing recommendations.

Lead end-to-end Salesforce implementation programs focused on digital transformation. Manage multiple concurrent workstreams (business, technical, data, integrations, testing, deployment), run Agile ceremonies, maintain project plans and governance, coordinate onshore/offshore teams and vendors, manage risks, budgets, and executive stakeholders, and support business development and practice growth.

Lead network strategy and execution for healthcare payer clients: translate claims and provider data into actionable network optimization, manage teams, present findings to stakeholders, and implement contracting and design solutions to improve cost, quality, and access.

Lead end-to-end healthcare payer digital transformation projects, coordinating cross-functional (onshore/offshore) teams, managing timelines, risks, Agile ceremonies, testing and deployments, stakeholder communications, and post-launch support to modernize claims, customer service, and enterprise systems.

Analyze data and build AI/ML solutions to drive business outcomes. Develop and monitor models, design and evaluate Agentic and Generative AI workflows, apply prompt engineering and responsible AI, use SQL/Python and BI tools, and collaborate with stakeholders to translate insights into action.

Work with clients to analyze data, research market dynamics, build business cases, and deliver client-ready recommendations. Lead and mentor junior team members, develop presentations, manage stakeholders, and support implementation of cost and operational improvements in healthcare payer contexts.

Analyze large-scale pharmacy and claims datasets to identify trends, cost drivers, and anomalies; manage pharmacy and pharmacovigilance data in EHR/pharmacy systems; build and maintain Power BI dashboards; validate claims logic and outcomes; support regulatory/compliance reporting; lead analytics workstreams and present insights to stakeholders.

Lead procurement, sourcing, and vendor management initiatives for healthcare payers. Perform spend and category analyses, develop financial models and business cases, support RFPs and contract negotiations, present findings to executives, drive cost and operational improvements, mentor junior staff, and manage client communications and implementation.

Lead consulting engagements for healthcare payers, owning workstreams, analyzing claims and financial data, building business cases, presenting recommendations, mentoring team members, and driving implementation and client relationships to improve cost, operations, and performance.

Deliver Payment Intelligence consulting to health plans by analyzing claims, identifying payment accuracy opportunities, recommending process and automation improvements, researching reimbursement policies, preparing client-ready deliverables, and supporting claims editing and contract configuration initiatives.

Lead client engagements to design, build, and operationalize advanced AI/ML and agentic AI solutions. Develop custom models, prototype agentic workflows, apply responsible generative AI practices, mentor junior data scientists, and translate data insights into measurable business outcomes.

Lead and execute healthcare payer consulting engagements: manage teams, analyze complex claims/pharmacy/financial data, develop analytical strategies and solutions, present findings to clients, mentor staff, manage projects end-to-end, and support client implementations while remaining hands-on in execution.