Healthcare Transformation Expert/Strategist

Job Description We are seeking a versatile and highly experienced Healthcare Subject Matter Expert (SME) - Healthcare Transformation Expert / Strategist - to join our Healthcare and Life Science (HCLS) team. This individual will advise payer and provider clients on value-based care, population health, and broader healthcare transformation. This leader will serve as a strategic advisor across regulatory, operational, financial, and clinical domains, going wide across healthcare topics while diving deep into specialized areas as needed. The SME will operate at both a strategic and tactical level, focusing on practical model design, performance improvement, and executive-facing advisory services, working closely with analytics, legal/compliance, and delivery teams to ensure projects are executed with excellence. In addition to delivery, this role will actively support sales pursuits, RFP responses, and client engagement efforts, helping position our consultancy as a trusted partner in the marketplace. Perficient is the global AI-first consultancy. Our team of strategists, designers, technologists, and engineers partners with the world's most innovative enterprises and admired brands to deliver real business results through the transformative power of AI. As part of our AI-First strategy, we empower every employee to build AI fluency and actively engage with AI tools to drive innovation and efficiency. We break boundaries, obsess over outcomes, and shape the future for our clients. Join a company where bold ideas and brilliant minds converge to redefine what's possible - while building a career filled with growth, balance, and purpose. ResponsibilitiesStrategic Advisory 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. Translate regulatory and market changes into clear implications and options for clients. Sales & Business Development Support 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. Contribute to scoping, solution narratives, and estimates for engagements. Project Delivery Serve as the domain lead on client projects, ensuring scope, approach, and deliverables align client needs and industry best practices. Work with project managers and analytics leads to prioritize use cases and guide recommendations. Analytics & Insights (Guiding, not coding) Define the key questions, metrics, and segmentation needed to evaluate performance (e.g., cost, utilization, quality, risk). Interpret outputs from analytics teams (claims, EHR, population health platforms, etc.) and convert them into actionable guidance for business and clinical leaders. Mandates & Compliance (Advisory level) 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). Partner with internal or client compliance/legal teams to ensure recommendations are implementable and appropriately reviewed. Cross-Functional Collaboration Work with clinical leaders, finance, operations, IT, and population health teams to align strategies and support practical implementation. Help teams design realistic workflows, governance, and operating models for value-based and population health initiatives. Thought Leadership & Client Education Develop client-facing presentations, offerings, playbooks, and training sessions on value-based care, population health topics and related topics Contribute to internal or external white papers, webinars, and conference content Focus Area of Expertise: Value-Based Care & Payment Models Experience with ACOs, PCMH, bundled payments, shared savings, and risk-sharing arrangements in at least one major line of business (Medicare, Medicaid, Commercial). Practical understanding of contract structures, performance metrics, and levers to improve results. Population Health & Performance Improvement Experience working with population health, care management, or quality improvement programs (e.g., chronic disease management, care coordination, high-risk member programs, SDoH-related interventions). Ability to guide risk stratification and performance dashboards at a conceptual level and explain results to clinical and business stakeholders. Quality & Outcomes Familiarity with common quality frameworks (HEDIS, STARs, CMS quality programs) and how they tie into payment and incentive structures. Experience helping organizations use quality and outcomes measures to drive program design and provider engagement. Qualifications8-12+ years of experience in one or more of: healthcare consulting, payer or provider strategy, population health management, or value-based care program leadership. Demonstrated success in leading strategic initiatives and supporting sales/RFP efforts. 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. Experience working with both payer and provider stakeholders is highly desirable; deep expertise in at least one side is required. Deep understanding of value-based care concepts, payment models, contract design, and population health strategies, with hands-on experience implementing or improving such programs. Experience working with claims and/or clinical data outputs and population health or analytics platforms, in partnership with technical teams (you guide, they build). Comfort interpreting dashboards and analyses (e.g., cost/utilization trends, risk segments, quality metrics) and shaping recommendations; hands-on experience with tools like Tableau, Power BI, or SQL is a plus but not required for day-to-day work. 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. Possesses a strong understanding of AI capabilities, limitations, and ethical considerations. Proficient in leveraging AI technologies to drive innovation, support strategic initiatives, and enable data-driven decision-making. Strong communication skills, able to explain complex programs and analytics in simple, executive-ready language. Strategic and structured thinker, comfortable framing problems, options, and trade-offs. Credible presence with senior payer and provider leaders; able to influence and build consensus. Collaborative, low-ego style, able to partner with project managers, data teams, clinicians, and compliance/legal. Comfortable working in an evolving environment and balancing multiple clients or initiatives. Bachelor's degree in healthcare, business, technology or related fields (Master's preferred). Expectation for some travel and local-office on-site may be required (depending on location & requirements). Perficient, Inc. proudly provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a protected veteran in accordance with applicable federal, state and local laws. Perficient, Inc. complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Perficient, Inc. expressly prohibits any form of unlawful employee harassment based on race, color, religion, gender, sexual orientation, national origin, age, genetic information, disability, or covered veterans. Improper interference with the ability of Perficient, Inc. employees to perform their expected job duties is absolutely not tolerated. Disability Accommodations: Perficient is committed to providing a barrier-free employment process with reasonable accommodations for qualified individuals with disabilities and disabled veterans in our job application procedures. If you need assistance or accommodation due to a disability, please contact us. Applications will be accepted until the position is filled or the posting is removed. The salary range for this position takes into consideration a variety of factors, including but not limited to skill sets, level of experience, applicable office location, training, licensure and certifications, and other business and organizational needs. The new hire salary range displays the minimum and maximum salary targets for this position across all US locations, and the range has not been adjusted for any specific state differentials. It is not typical for a candidate to be hired at or near the top of the range for their role, and compensation decisions are dependent on the unique facts and circumstances regarding each candidate. A reasonable estimate of the current salary range for this position is $103,584 to $209,800. Please note that the salary range posted reflects the base salary only and does not include benefits or any potential variable compensation programs. Information regarding the benefits available for this position are in our benefits overview. Disclaimer: The above statements are not intended to be a complete statement of job content, rather to act as a guide to the essential functions performed by the employee assigned to this classification. Management retains the discretion to add or change the duties of the position at any time. #LI-KD1 #LI-Remote About Us Perficient is the global AI-first consultancy. Our team of strategists, designers, technologists, and engineers partners with the world's most innovative enterprises and admired brands to deliver real business results through the transformative power of AI. As part of our AI-First strategy, we empower every employee to build AI fluency and actively engage with AI tools to drive innovation and efficiency. We break boundaries, obsess over outcomes, and shape the future for our clients. Join a company where bold ideas and brilliant minds converge to redefine what's possible - while building a career filled with growth, balance, and purpose.

Created: 2026-03-04