Medicare Advantage Manager

ZS; Princeton (NJ); Hybrid; USD 120,000 - 150,000; Full time

Benefits offered by this job

Comprehensive rewards package

Robust skills development programs

Flexible working model

Job summary

A management consulting and technology firm in New Jersey seeks a seasoned professional with over 8 years in health plan management, especially in Medicare Advantage. The role focuses on developing data-driven solutions, leading client relationships, and mentoring teams. Candidates should have a Bachelor’s degree, and an MBA is preferred. ZS offers a hybrid work model with opportunities for professional growth and a strong emphasis on collaboration and innovation.

Qualifications

• 8+ years’ experience in health plan management consulting with a focus on Medicare Advantage.
• 3+ years’ experience in a senior role (manager, director) within a professional services firm.
• Ability to lead a virtual team of consulting professionals across multiple projects.

Responsibilities

• Demonstrate expertise in Medicare Advantage domains.
• Develop data-driven solutions for performance improvement.
• Lead client relationships and business development efforts.

Skills

Health plan management consulting

Analytical skills

Client relationship building

Leadership

Written and verbal communication

Problem-solving

Education

Bachelor’s degree

MBA or Advanced Degree

Job description

Overview

ZS is a place where passion changes lives. As a management consulting and technology firm focused on improving life and how we live it, we transform ideas into impact by bringing together data, science, technology and human ingenuity to deliver better outcomes for all. Here you’ll work side-by-side with a powerful collective of thinkers and experts shaping life-changing solutions for patients, caregivers and consumers, worldwide. ZSers drive impact by bringing a client-first mentality to each and every engagement. We partner collaboratively with our clients to develop custom solutions and technology products that create value and deliver company results across critical areas of their business. Bring your curiosity for learning, bold ideas, courage and passion to drive life-changing impact to ZS.

ZS\'s Insights & Analytics group partners with clients to design and deliver solutions to help them tackle a broad range of business challenges. Our teams work on multiple projects simultaneously, leveraging advanced data analytics and problem-solving techniques. Our recommendations and solutions are based on rigorous research and analysis underpinned by deep expertise and thought leadership.

What You’ll Do

• Demonstrate deep expertise in Medicare Advantage, with strong functional knowledge across key domains including Risk Adjustment, Quality (Stars), Provider Engagement, and Cost of Care management, as well as evolving payer-provider partnership models.
• Develop data-driven solutions, insights, and points of view that help Medicare Advantage organizations improve financial and clinical performance by optimizing reimbursement accuracy, enhancing quality outcomes, and reducing avoidable medical costs.
• Partner with health plan and provider stakeholders to design and support provider engagement strategies that drive adoption of risk adjustment and quality programs while aligning incentives across the care continuum.
• Lead client relationships and business development efforts, including opportunity identification, solution shaping, and proposal support.
• Manage end-to-end client delivery, proactively mitigating risks and ensuring executive stakeholders are informed of progress, outcomes, and value realization.
• Stay current on regulatory, policy, operational, digital, and industry trends impacting Medicare Advantage, including CMS guidance and market dynamics.
• Effectively lead, mentor, and motivate cross-functional teams with diverse skill sets, fostering collaboration, accountability, and high performance.
• Provide timely, constructive feedback and on-the-job coaching to support team development and career growth.
• Cultivate an innovative, inclusive, and team-oriented work environment that encourages continuous improvement and new ways of thinking.
• Demonstrate the ability to quickly assimilate new information and translate complex concepts into practical, actionable recommendations for clients

What You’ll Bring

• Bachelor’s degree
• MBA or Advanced Degree is highly desirable
• 8+ years’ experience in health plan management consulting, with a focus on topics related to Medicare Advantage
• 3+ years’ experience in a senior role (manager, director) within a professional services firm
• Demonstrated experience with driving commercial relationships within existing clients and in developing new prospects at the VP level.
• Strong credentials and demonstrated success in defining and delivering digital/tech solutions
• Ability to lead a virtual team of consulting professionals across multiple projects
• A high level of motivation and self-starting attitude
• Strong analytical and problem-solving skills
• Excellent oral and written communication skills
• A strong work ethic
• A willingness to travel to meet client needs
• Executive-level presence and communication

How you’ll grow

• Cross-functional skills development & custom learning pathways
• Milestone training programs aligned to career progression opportunities
• Internal mobility paths that empower growth via s-curves, individual contribution and role expansions

Perks & Benefits

ZS offers a comprehensive total rewards package including health and well-being, financial planning, annual leave, personal growth and professional development. Our robust skills development programs, multiple career progression options and internal mobility paths and collaborative culture empowers you to thrive as an individual and global team member.

Hybrid working model

We are committed to giving our employees a flexible and connected way of working. A flexible and connected ZS allows us to combine work from home and on-site presence at clients/ZS offices for the majority of our week. The magic of ZS culture and innovation thrives in both planned and spontaneous face-to-face connections.

Travel

Travel is a requirement at ZS for client facing ZSers; business needs of your project and client are the priority. While some projects may be local, all client-facing ZSers should be prepared to travel as needed. Travel provides opportunities to strengthen client relationships, gain diverse experiences, and enhance professional growth by working in different environments and cultures.

Considering applying?

At ZS, we honor the visible and invisible elements of our identities, personal experiences, and belief systems—the ones that comprise us as individuals, shape who we are, and make us unique. We believe your personal interests, identities, and desire to learn are integral to your success here. We are committed to building a team that reflects a broad variety of backgrounds, perspectives, and experiences. Learn more about our inclusion and belonging efforts and the networks ZS supports to assist our ZSers in cultivating community spaces and obtaining the resources they need to thrive.

If you’re eager to grow, contribute, and bring your unique self to our work, we encourage you to apply.

ZS is an equal opportunity employer and is committed to providing equal employment and advancement opportunities without regard to any class protected by applicable law.

To complete your application

Candidates must possess or be able to obtain work authorization for their intended country of employment. An on-line application, including a full set of transcripts (official or unofficial), is required to be considered.

NO AGENCY CALLS, PLEASE.

Find Out More At:

www.zs.com