Principle Div Consultant- Medicare Provider Network Strategy - Remote

hcsc; National (WA); Remote; USD 93,000 - 168,000; Full time

Job summary

Health Care Service Corporation (HCSC) is seeking a senior analyst to lead Medicare Advantage provider network strategy initiatives, from inception to completion. You will analyze network data from internal and external sources and collaborate with cross-functional leadership to shape the division's business plan and roadmaps.

This role requires strong strategic planning, analytical capabilities, and experience in fast-paced environments.

Qualifications

• Bachelor’s degree in health care, health insurance, or related field with 5–8 years of experience.
• Experience leading and formulating strategy with ability to connect with people and teams.
• Ability to work in a fast-paced environment with multiple priorities and matrixed leadership.
• Experience with cross-department collaboration and presenting to executives.
• Knowledge of strategic planning techniques and industry trends.

Responsibilities

• Lead short- and long-term Medicare Advantage network strategy initiatives from inception to completion.
• Analyze Medicare network data using internal and external sources to support prioritization of divisional initiatives.
• Assist leadership in executing business plans, analytics, and data needs; present insights to senior leadership.

Skills

Strategic planning

Cross-functional collaboration

Data analysis

Communication

Project management

Presentation skills

Healthcare industry knowledge

Education

Bachelor’s degree

Advanced degree (MBA/JD/MHA)

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

This position is responsible for assisting with leading short-term and long-term initiatives related to Medicare Advantage provider network strategy. This position will support and lead major, complex and strategic network initiatives from inception to completion. This position will analyze Medicare network data using internal and external sources to support the prioritization of divisional initiatives and track progress to goals. This position will, assist the leadership team on executing the business plan, strategies, analytics and data needs for the division and working with divisional leadership on strategies and business plans for strategic network initiatives. This position will identify and present network trends and insights while interacting with all levels of cross-functional management, including senior divisional leadership.

.Required Job Qualifications:

• Bachelor’s degree and 6 years’ experience in health care, health insurance, or strategic consulting environment OR Bachelor 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.
• Able to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities.
• Work directly with corporate leadership.
• 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.
• Analytical, program management and problem-solving skills.

Preferred Job Qualifications:

• Health insurance or healthcare industry experience supporting Medicare Advantage
• Advanced Knowledge of Medicare Advantage provider networks, Medicare Advantage key performance indicators, trends, and financial acumen
• Knowledge of Medicare Stars, Medicare Risk Adjustment, Medicare Finance, and Medicare Plan types, (i.e., D-SNP, C-SNP, EGWP)
• Strong executive-level communication, presentation, and writing skills.
• Experience digesting and solutioning for complex conceptual and operational problems.
• Candidates that possess an aptitude of analytical up and downstream thinking, information seeking, have an openness to learn, and are thorough and detail oriented

• Advanced degree such as Juris Doctor, MBA or MHA.

This is a remote role.

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 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.