[Remote] Principal Consultant (D365 Sales – Healthcare Payer)
Note: The job is a remote job and is open to candidates in USA. Sonata Software is a leading Modernization Engineering company that focuses on delivering modernization-driven hypergrowth for clients. They are seeking a Principal Consultant (D365 Sales – Healthcare Payer) to lead business process transformation workshops, oversee D365 Sales implementation, and ensure compliance with healthcare regulations.
Responsibilities
- Lead business process transformation workshops to define the "To-Be" state for Payer sales organizations. Translate complex Payer business models (Individual, Group, Medicare/Medicaid) into D365 functional designs
- Oversee the architectural integrity of the D365 Sales implementation, including complex integrations with legacy Claim Processing Systems (e.g., Facets, QNXT), Provider Data Management, and Enrollment engines
- Ensure all digital solutions adhere to HIPAA, HITECH, and CMS regulations. Define data residency and security protocols within the Dataverse to protect PHI/PII
- Represent the organization as a subject matter expert in Healthcare CRM, contributing to white papers, industry conferences, and Microsoft’s inner-circle advisory boards
- Ability to challenge and influence C-level executives (CIO, CMO, COO) on digital strategy
Skills
- Lead business process transformation workshops to define the 'To-Be' state for Payer sales organizations
- Translate complex Payer business models (Individual, Group, Medicare/Medicaid) into D365 functional designs
- Oversee the architectural integrity of the D365 Sales implementation, including complex integrations with legacy Claim Processing Systems (e.g., Facets, QNXT), Provider Data Management, and Enrollment engines
- Ensure all digital solutions adhere to HIPAA, HITECH, and CMS regulations
- Define data residency and security protocols within the Dataverse to protect PHI/PII
- Represent the organization as a subject matter expert in Healthcare CRM, contributing to white papers, industry conferences, and Microsoft's inner-circle advisory boards
- Ability to challenge and influence C-level executives (CIO, CMO, COO) on digital strategy
- Deep knowledge of the Health Insurance lifecycle: Prospect-to-Card conversion, Broker/Agency Management, Group Sales/Underwriting support, and Renewal management
- Strong understanding of Interoperability standards (HL7, FHIR) and how CRM integrates with Electronic Health Records (EHR) and Payer Core Administrative Processing Systems (CAPS)
- Expert-level understanding of ACA (Affordable Care Act) requirements, Medicare Advantage sales cycles, and state-specific Medicaid compliance
- 15+ Years in Microsoft Dynamics: A career spanning the evolution of Dynamics (from 4.0/2011 to modern D365 Cloud)
- Advanced configuration of D365 Sales, Power Automate, and Power Pages
- Proven track record in 'Straighten Defection' (Zero-defect delivery) through rigorous UAT, automated testing strategies, and robust DevOps pipelines
- Expertise in complex data migration from legacy CRM/Mainframe systems to D365, ensuring data integrity and historical continuity for member records
- Must have led at least 3–4 full-lifecycle D365 implementations for Top-50 US Health Plans or Global Payers
- Bachelor's degree in healthcare administration, CS, or MBA
- Microsoft Certified: Dynamics 365 Sales Functional Consultant Associate and Power Platform Solution Architect Expert
- Expertise in the Microsoft Cloud for Healthcare is highly preferred
Company Overview
- Sonata is a global software services company. It was founded in 1986, and is headquartered in Bangalore, Karnataka, IND, with a workforce of 5001-10000 employees. Its website is http://www.sonata-software.com/.
Company H1B Sponsorship
- Sonata Software has a track record of offering H1B sponsorships, with 2 in 2022, 1 in 2021. Please note that this does not guarantee sponsorship for this specific role.
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