Prin Div Strategy Consultant - Governance (Remote)

Health Care Service Corp.; United States; Remote; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corp. (HCSC) seeks an experienced leader to oversee field contracting governance, ensuring compliance with contracting standards, regulatory requirements, and reimbursement policies.

You will guide contractors and collaborate with Legal, Compliance, and Matrix Leadership to align policy and reporting. The role sits in the Governance Department within the Network Standards and Contracting Governance teams, supporting the broader NBS Organization while working across a

Qualifications

• Bachelor’s degree with 6+ years in health care, health insurance, or strategic consulting; OR Bachelor’s degree with 5+ years in consulting involving strategic planning, business development and financial operations; OR 8+ years in health care strategy, market research, network management or product development.

Responsibilities

• Oversee field contractors to ensure compliance with contracting standards and regulatory requirements.
• Provide guidance on Contract Management System use and governance processes.
• Collaborate with Legal, Compliance and Matrix Leadership on policy language and reporting.

Skills

Strategic leadership

Cross-functional collaboration

Strong communication

Analytical thinking

Problem solving

Education

Bachelor’s degree

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:

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.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

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.

We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range $92,700.00 - $167,500.00 Exact compensation may vary based on skills, experience, and location.

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.