Prin Div Strategy Consultant - Governance (Remote)

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

Benefits offered by this job

Health benefits

401(k)

Pension plan

Paid time off

Paid parental leave

Disability insurance

Life insurance

Employee assistance program

Paid holidays

Tuition reimbursement

Job summary

Health Care Service Corporation (HCSC) is seeking a governance-focused professional responsible for ensuring field contractors adhere to contracting standards and regulatory requirements. You will guide the use of standard templates, reimbursement policies, and the Contract Management System while coordinating with Legal, Compliance, and leadership on policy language and governance processes.

You will work within the Governance Department supporting Network Standards, Systems, and Provider &

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 in strategic planning, market research, network management, or product development in health care industry.

Responsibilities

• Ensure field contractors comply with contracting standards and regulatory requirements.
• Provide guidance on Contract Manager usage and governance processes.
• Collaborate with Legal, Compliance, and Matrix Leadership on policy language and reporting.

Skills

Strategic planning

Project management

Analytics

Stakeholder management

Communication

Cross-functional collaboration

Education

Bachelor's degree in relevant 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.

• 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

Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards .

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.