Consultant - Network Business Ops & Program Management

GuideWell; Florida; On-site; USD 92,000 - 150,000; Full time

Benefits offered by this job

Medical, dental, vision, life and glob

Disability benefits

Retirement Savings Plan with employer

Paid time off and holidays

Job summary

GuideWell seeks seasoned consultants to apply expert knowledge across healthcare and network management. You will support senior leaders, lead complex initiatives from concept through implementation, and design tools and processes influencing key business decisions.

Expect cross-functional collaboration and frequent stakeholder engagement across technology and business units. The role emphasizes strategic advisory, process optimization, and mentoring while operating within a dynamic health payer

Qualifications

• 5+ years related work experience in Healthcare and Network Management.
• Bachelor’s degree or related equivalent experience.
• Proficiency with Microsoft Office suite (Excel, Word, PowerPoint).
• Preference for PMP certification and Teams/SharePoint experience.

Responsibilities

• Understand strategic direction of the business unit and organization.
• Provide consultative support to senior management within strategic objectives.
• Lead complex initiatives from concept through design to readiness and implementation.
• Design and integrate complex tools, systems, or processes impacting decisions.
• Advise on options, risks, costs, and impacts on processes and systems.
• Build and maintain relationships across technology and business stakeholders.

Skills

Healthcare expertise

Network management

Consulting

Education

Bachelor's degree or equivalent experience

Tools

Microsoft Office (Excel, Word, PowerPoint)

Teams

SharePoint

Job description

Consultants are seasoned, subject matter experts who apply specialized knowledge, typically as an individual contributor, in matters that require special interpretation or expertise. Incumbents use their discipline-specific and/or institutional knowledge to perform department activities. They participate in and/or lead critical, high-risk, complex initiatives, programs, and projects, have frequent contact with internal and external business partners, facilitate/ influence strategic thinking and direction and influence peers and leaders across the organization to act on issues that have organization-wide impact. Incumbents may directly manage a small number of employees (two or less); the primary function of the role is consulting.

What You Will Be Doing

• Understands strategic direction of business unit and the organization
• Provides consultative support to organization management within context of overall strategic objectives and broad policy; typically supports senior management.
• Provide expertise on and/or lead critical or complex initiatives and projects from concept through analysis and design to operational business readiness and implementation
• Lead the design and development and/or integration of complex tools, systems, processes, programs, network expansions, etc. that directly impact business decisions and objectives.
• Advise management on options, opportunities, risks, solutions, cost versus benefits and impacts on business processes, systems, employees, etc. Influence and gain acceptance of ideas and suggestions.
• Rapidly learn current processes and constraints to develop vision and design of optimal business processes
• Manage relationships and work successfully across technology and business stakeholders, including peer level through executive level
• Has frequent contact with internal and external business partners to obtain and share information for influencing decisions, selling concepts, and/or providing advice and counsel that impacts business objectives including provider program initiatives/network compliance efforts and network strategies.
• Acts as communications lead for department. Expertise in document creation and communications at all levels. Communication includes messaging and presentations to all levels throughout the organization including playbook management for network programs. Acts as spokesperson for leadership, as appropriate.
• Expert analytical abilities and the ability to use data to “hone in” on and determine the highest value efforts to pursue.
• May oversee reporting, monitoring and evaluation activities.
• May lead, coach, and develop a small staff.
• Serve as Subject Matter Expert and mentor others.

What We Require

• 5+ years related work experience in Healthcare, Network Management
• Related Bachelor’s degree or additional related equivalent work experience

What We Prefer

• Proficiency with Microsoft suite of tools (Excel, Word, PowerPoint)
• Master’s degree
• Proficiency with Teams and / or SharePoint PMP
• Residential preference in FL and Southeast Region

General Physical Demands

• Exerting up to 10 pounds of force occasionally to move objects.

• Jobs are sedentary if traversing activities are required only occasionally.

• Must be able to travel occasionally to multiple locations for work (i.e. travel to attend meetings, events, conferences).

What We Offer

As a Florida Blue employee, you will be at the heart of GuideWell’s vision – to lead the nation in transforming health through compassionate, connected, and technology-enabled care that delivers personalized value and empowered living.

To support your wellbeing, comprehensive benefits are offered. As an employee, you will have access to:

• Medical, dental, vision, life and global travel health insurance
• Income protection benefits: life insurance, short- and long-term disability programs
• Leave programs to support personal circumstances
• Retirement Savings Plan including employer match
• Paid time off, volunteer time off, 10 holidays and 2 well-being days
• Additional voluntary benefits available; and a comprehensive wellness program

Employee benefits are designed to align with federal and state employment laws. Benefits may vary based on the state in which work is performed. Benefits for intern, part-time and seasonal employees may differ.

To support your financial wellbeing, we offer competitive pay as well as opportunities for incentive or commission compensation. We also conduct regular annual reviews with pay for performance considerations for base pay increases.

Typical Annualized Offer/Hiring Range: $92,100 - $115,100

Annualized Salary Range:$92,100 - $149,600

Final pay will be determined with consideration of market competitiveness, internal equity, and the job-related knowledge, skills, training, and experience you bring.

We are an Equal Employment Opportunity employer committed to cultivating a work experience where everyone feels like they belong and can perform at their best in pursuit of our mission. All qualified applicants will receive consideration for employment.