Principle Div Consultant- Medicare Provider Network Strategy - Remote

HCSC Group; United States; À distance; USD 93 000 - 168 000; Plein temps

Résumé du poste

HCSC is seeking an experienced strategist to help shape Medicare Advantage provider network initiatives. You will analyze network data from internal and external sources, support and lead major initiatives from inception to completion, and interact with senior leadership to align strategy with business goals.

You will collaborate across departments in a fast-paced, matrixed environment, build strong connections with teams, and translate insights into actionable plans.

Qualifications

• Bachelor’s degree with 6+ years in health care, health insurance, or strategic consulting.
• Experience leading and formulating strategy with ability to build strong connections with teams.
• Work within a fast-paced, matrixed organization and manage multiple priorities while engaging corporate leadership.

Responsabilités

• Lead short- and long-term Medicare Advantage provider network initiatives from inception to completion.
• Analyze network data using internal and external sources to prioritize initiatives and track progress.
• Collaborate with senior leadership on business plans, strategies, analytics and data needs.

Connaissances

Strategy formulation

Cross-functional leadership

Analytical thinking

Program management

Communication skills

Presentation skills

Stakeholder engagement

Healthcare knowledge

Formation

Bachelor's degree

MBA or MHA (preferred)

Advanced degree (JD / MBA / MHA)

Description du poste

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.

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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.