Principle Div Consultant- Medicare Provider Network Strategy - Remote

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

Job summary

Health Care Service Corp. (HCSC) is seeking a strategic leader to guide Medicare Advantage provider network initiatives from concept through delivery.

You will analyze network data and collaborate with senior leadership to shape plans across divisions, delivering measurable impact on network performance. The role requires coordinating with cross-functional teams, managing multiple priorities in a fast-paced environment, and contributing to a comprehensive network growth strategy.

Qualifications

• Bachelor’s degree with 5–6 years in health care, health insurance, or strategic consulting.
• Experience leading and formulating strategy and building cross-team connections.
• Ability to manage multiple priorities in a fast-paced, evolving organization.

Responsibilities

• Lead short- and long-term Medicare Advantage network initiatives from inception to completion.
• Analyze Medicare network data using internal/external sources to prioritize initiatives.
• Collaborate with divisional leadership on strategies and business plans for network initiatives.

Skills

Strategic planning

Leadership

Analytical skills

Communication skills

Program management

Education

Bachelor's degree

MBA or JD or 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. #LI-remote #LI-MM1

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.

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.

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.

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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.

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.

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.