Prin Div Strategy Consultant - Governance (Remote)

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

Job summary

Health Care Service Corporation (HCSC) is seeking an experienced leader to oversee contract governance, ensuring field contractors comply with standards, policies, and regulatory requirements. You’ll guide strategy, support governance processes, and collaborate with Legal, Compliance, and senior leadership.

The role emphasizes cross-functional coordination, data-driven analysis, and the ability to navigate a fast-paced environment while driving regulatory and contractual excellence.

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.
• 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.

Responsibilities

• Overall accountability for ensuring field contractors comply with contracting standards and regulatory requirements.
• Provide direct and ongoing guidance on contracting standards, LOB regulations, and use of Contract Manager.
• Support field contractors on non-standard issues and coordinate with Legal, Compliance, and Leadership on policy and reporting.

Skills

Strategic thinking

Analytical skills

Interpersonal skills

Communication skills

Problem solving

Cross-functional collaboration

Education

Bachelor’s degree

Master’s degree (preferred)

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.

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

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 plansubject 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.