Prin Div Strategy Consultant - Governance (Remote)

Health Care Service Corp.; Chicago (IL); Remote; USD 93,000 - 168,000; Full time

Benefits offered by this job

Total rewards package

401(k) savings plan

Pension plan

Paid time off

Job summary

Health Care Service Corporation seeks an experienced governance professional to ensure field contractors meet contracting standards and regulatory requirements. You will guide on LOB regulations and Contract Management System use, and collaborate with Legal, Compliance, and leadership on policy and reporting.

The role requires strong strategic thinking, communication, and ability to manage multiple priorities in a fast-paced healthcare environment, with cross-department collaboration.

Qualifications

• Bachelor’s degree and 6 years’ experience in health care, health insurance, or strategic consulting environment OR Bachelor’s degree and 5 years consulting experience involving strategic planning, business development, and financial management operations.
• 8 years of experience in strategic planning, market research, network management, or product development in health care industry.
• Experience leading and formulating strategy with the ability to build strong connections with people and teams.
• Drive results by working across departments in matrixed environment.
• Interpersonal skills, including presentation, written and verbal communication.
• Experience with business analytics and information synthesis.

Responsibilities

• Overall accountability for ensuring that field contractors comply with contracting standards and regulatory requirements.
• Provide direct and ongoing guidance to field contractors on contracting standards, LOB regulations, and Contract Manager usage.
• Support Governance team and collaborate with Legal, Compliance, and Matrix Leadership on policy and reporting.

Skills

Strategic planning

Business analytics

Interpersonal skills

Communication

Leadership

Matrix collaboration

Education

Bachelor’s degree in health care/related field

Job description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.

Job Summary Overall accountability for ensuring that field contractors comply with contracting standards, regulatory requirements, including use of governing standard templates, reimbursement standards, network and contract policy, and the non-standard deviation process. Provide direct and ongoing guidance and support to field contractors on contracting standards, LOB regulations, and use of the Contract Management System (Contract Manager). Supports field contractors on non-standard issues and works closely with the Legal, Compliance, and Matrix Leadership on policy, language, and "ability to administer" issues as well as on reporting and compliance with the Governance non-standards review process. Work within the Governance Department responsible for Network Standards, Systems, Contracting Governance and Network Governance for Providers & Suppliers, in support of the broader NBS Organization and Work within the larger NBS Governance Team.

Required Job Qualifications

Bachelor’s degree and 6 years’ experience in health care, health insurance, or strategic consulting environment OR Bachelor’s degree and 5 years consulting experience involving strategic planning, business development, and financial management operations. OR 8 years of experience strategic planning, market research, network management, or product development in health care industry.
Experience leading and formulating strategy with the ability to build strong connections with people and teams.
Drive results by working across departments in matrixed environment.
Interpersonal skills, including presentation, written and verbal communication.
Experience with business analytics and information synthesis.
Knowledge of strategic planning techniques and industry trends.
Able to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities.
Work directly with corporate leadership.
Analytical, program management and problem-solving skills.

Preferred Job Qualifications

Strongly preferred background in Compliance, Regulatory Ops, or Audit Subject Matter Expertise in Contracting, Negotiating, Provider/Supplier Services, Project Management, Health Plan Operations, Health Plan Regulations, and Accreditation Standards.
High degree of business acumen & professionalism.
Ability to translate complex conditions & identify solutions for risk mitigation.
Ability to foster collaboration, value other’s perspectives and gain support and buy-in for organizational proposals.
Matrix management skills & high levels of business acumen.
Ability to drive and lead an organization through change.
Excellent interpersonal and relationship management skills.

Pay Transparency Statement

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work.
From health and wellness benefits, 401(k) savings plan, pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement, plus other incentives, we offer a robust total rewards package for employees.
Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.
The compensation offered will vary depending on your job-related skills, education, knowledge, and experience.
This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.
Base Pay Range $92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location.

HCSC Employment Statement

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. Base Pay Range $92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location.

Are you being referred to one of our roles? If so, ask your connection at HCSC about our Employee Referral process!

For more than 80 years, HCSC has been dedicated to expanding access to high-quality, cost-effective health care and equipping our members with information and tools to make the best health care decisions for themselves and their families. As an industry leader, HCSC also has been helping to make the health care system work better for all Americans. To remain a leader, we offer compelling careers that encourage resourcefulness, strategic thought and empower you to make a difference in the lives of our members and their communities. Today, with the industry at an important crossroad, HCSC is reimagining health care and looking for original thinkers who aren’t afraid to make innovative contributions. We are an Equal Opportunity Employment employer dedicated to workforce diversity and a drug‑free and smoke‑free workplace. Learn more about HCSC, our commitment to our members and the opportunity you’ll have to improve health care delivery in an open, collaborative environment.

HCSC is committed to diversity in the workplace and to providing equal opportunity to employees and applicants. If you are an individual with a disability or a disabled veteran and need an accommodation or assistance in either using the Careers website or completing the application process, you can call us at 1-866-977-7378 to request reasonable accommodations. Please note that only requests for accommodations in the application process will be returned. All applications, including resumes, must be submitted through HCSC's Career website on-line application process. If you have general questions regarding the status of an existing application, navigate to "candidate home" to view your job submissions.

Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of New Mexico, Blue Cross and Blue Shield of Oklahoma, and Blue Cross and Blue Shield of Texas, Divisions of Health Care Service Corporation, a Mutual Legal Reserve Company, and Independent Licensee of the Blue Cross and Blue Shield Association © Copyright 2025 Health Care Service Corporation. All Rights Reserved.