Senior Consultant, Member Experience at Qualtrics · LumiJobs

Responsibilities

Health plans and healthcare providers are navigating an increasingly complex landscape marked by evolving quality frameworks, shifting regulatory standards, and rising expectations from the populations they serve. As a Senior Consultant in Member Experience, you will serve as a trusted advisor bringing health plans and healthcare providers together.
How You’ll Find Success
Payer-Provider Bridge Builder: Understands the operational realities of both health plans and medical provider groups; builds genuine collaboration and trust across executive leaders, physician groups, and clinical staff.
Continuous Improvement Driver: Skilled in applying structured problem-solving and quality improvement frameworks (e.g., Plan-Do-Study-Act / PDSA cycles) to uncover root causes and build sustainable operational workflows.
Coach & Facilitator: Comfortably engages and trains diverse audiences—from executive roundtables and town halls to clinic managers and frontline teams—through interactive virtual sessions and hands-on onsite workshops.
Data-to-Action Interpreter: Adept at reading and interpreting complex performance metrics (CAHPS, HEDIS, HOS, Star Ratings) and translating them into clear, practical roadmaps without getting lost in technical reporting.
Adaptable & Client-Centric: Thrives in a dynamic consulting environment, easily shifting between strategic advisory, remote delivery, and onsite client facilitation across diverse regions.
Expand Scope of Influence: Broaden your reach beyond a single health system or payer to guide dozens of medical groups and major regional/national health plans across the country.
Lead Cutting-Edge Transformation: Be an active driver in one of healthcare’s most critical evolutions—uniting health plans and provider networks into collaborative care partners.
Hone Executive Advisory & Facilitation: Deepen your expertise in leading high-stakes client engagements, executive coaching, office hours, and collaborative exchange programs.
Deepen Quality & Regulatory Expertise: Strengthen your mastery of modern healthcare quality programs, value-based care models, Medicare Advantage Star Ratings, Medicaid, and Commercial lines of business.
Things You’ll Do

Qualification

ExperienceProvider Operations BackgroundQuality & Survey FrameworksCore Tool ProficiencyEducationTravel FlexibilityWhat You Should Know About This TeamHigh-Impact WorkCollaborative & Advisory-LedCommitment to GrowthData-Driven & Purpose-Focused

Required

Experience: 5+ years of relevant experience in healthcare operations, performance improvement, provider relations, or health plan operations.
Provider Operations Background: Strong background working directly within healthcare provider settings (e.g., as a Practice Manager, Practice Director, Clinic Operations Lead, or Provider Relations Specialist) with direct insight into clinic workflows and clinical staff engagement.
Dual Payer/Provider Experience (Strong Plus): Exposure to both health plan/payer operations (e.g., Medicare Advantage, Commercial, or Medicaid) and provider environments is highly preferred.
Quality & Survey Frameworks: Practical familiarity with healthcare quality metrics and survey frameworks, including CAHPS, HCAHPS, HEDIS, HOS, Patient Experience (PX), and Value-Based Care programs.
Core Tool Proficiency: Strong proficiency in Microsoft Office (PowerPoint, Excel, Word), with the demonstrated ability to review, interpret, and present data-driven insights effectively.
Education: Bachelor’s degree required; Master’s degree preferred.
Travel Flexibility: Ability and willingness to travel nationwide based on client needs (ttravel is client-dependent and can range from remote periods up to 75% travel during onsite engagements.).
What You Should Know About This Team
High-Impact Work: Our team directly influences the care experience and health outcomes of millions of members nationwide. This is accomplished by the team's passion to work collaboratively with both payers and providers to enhance the patient/member experience.
Collaborative & Advisory-Led: We work hand-in-hand with our clients and internal cross-functional experts, building true partnerships to support change management that is meaningful for both payers and providers.
Commitment to Growth: Continuous learning is embedded in how we work; team members are given immediate autonomy, executive visibility, and opportunities to stretch their skills across diverse client challenges.
Data-Driven & Purpose-Focused: We combine rigorous analytical methodology with a deep human-centered purpose to navigate the evolving healthcare ecosystem.

Senior Consultant, Member Experience

Responsibilities

Qualification

Required

Benefits

Company

Qualtrics

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