Sr. Strategic Healthcare Advisor

Quantum Health, Inc.; Wapakoneta (OH); A distancia; USD 140.000 - 200.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Health, vision and dental

401(k) with employer match

PTO and holidays

Tuition reimbursement

Paid trainings and leadership dev

Casual dress code

Descripción de la vacante

Quantum Health, Inc. is seeking a Senior Strategic Healthcare Advisor/Consultant in the United States to analyze healthcare data and provide strategic recommendations.

You will leverage GenAI, engage with self-funded employer groups, and guide benefits design and cost management through data-driven insights. Ideal candidates bring 8+ years in health plan administration, strong communication and presentation skills, and a proven ability to translate complex data into actionable guidance for

Formación

• Bachelor’s degree in Health Administration, Public Health, Business, Statistics, or a related field.
• 8+ years in health plan administration / self-funded space (4+ in advisory/analytical roles).
• Experience with claims and eligibility data; strong data-driven communication.

Responsabilidades

• Analyze and identify trends, risks and future opportunities across a broad healthcare data set.
• Utilize GenAI and advanced analytics to uncover drivers in plan, member experience, outcomes, and costs.
• Advise clients with forward-looking insights on data trends and implications for health plans and outcomes.
• Craft and deliver presentations highlighting insights with actionable strategies and measurable results.
• Collaborate with internal teams to develop tailored solutions addressing identified opportunities.
• Embrace GenAI to enhance data analysis and prompt engineering for deeper insights.

Conocimientos

Exceptional communication

Presentation skills

GenAI usage

Data analysis

Data storytelling

Educación

Bachelor’s degree in Health Administration, Public Health, Business, Statistics, or related field

Herramientas

Tableau

Excel

Descripción del empleo

Who we are

Founded in 1999 and headquartered in Central Ohio, we’re a privately-owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big-hearted, tech-savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.

About the role

We are seeking a highly experienced Senior Strategic Healthcare Advisor/Consultant with deep expertise in health plan administration, advanced healthcare data analysis, and the specific challenges faced by self-funded employer groups. This seasoned professional will play a key role in analyzing complex healthcare data to provide forward-looking insights and strategic recommendations that help clients optimize member health outcomes and health plan strategy. The ideal candidate is a talented orator, curious, forward-thinking, and adept at leveraging advanced technologies including Generative AI (GenAI), to derive meaningful insights and guide decision‑making.

What you’ll do (Essential Responsibilities)

• Data Analysis & Insight Generation:

  Analyze and identify trends, risks and future opportunities across a broad healthcare data set.

  Utilize advanced analytical techniques and tools, including Generative AI (GenAI), to uncover underlying drivers in plan and member experience, clinical outcomes, population health, and cost dynamics.

  Employ pattern recognition to determine which populations are driving costs, understand behavioral/utilization differences, and identify concentrations in specific divisions or locations.

  Validate data findings by probing deeper into anomalies and ensuring data integrity to produce meaningful insights.

• Strategic Advisory & Future Planning:

  Act as a trusted advisor to clients, providing forward-looking insights into data trends and their implications for future outcomes.

  Identify opportunities to improve member health outcomes and cost management through changes in benefits design, workplace conditions, partner solutions, or technology enhancements.

  Guide clients and their consultant partners in understanding the potential impact of industry shifts, emerging trends, and “what’s happening” in the benefits world on their health plans and member populations.

• Client Engagement & Presentation:

  Craft and deliver compelling presentations that highlight insights and recommendations, emphasizing actionable strategies and measurable results.

  Engage directly with clients and consultants, collaborating with Client Engagement (CE) teams to share insights and provide consultative assistance.

  Build and maintain strong client relationships, serving as an adjunct analytical support and peer advisor, including for clients with their own analysts on staff.

• Healthcare Industry Expertise:

  Leverage deep understanding of health plan administration, the medical and pharmacy payer landscape, and challenges unique to self-funded employer groups.

  Stay abreast of developments in the healthcare and benefits industries that can impact client results, including regulatory changes and emerging best practices.

• Internal Collaboration & Solution Delivery:

  Collaborate with internal teams (Value Creation, CE, Pods, Product Development, Technology, Actuarial Teams, Data Specialists) to develop and implement tailored solutions addressing identified opportunities.

  Work with data teams to access and analyze data, and with project management and implementation teams to support action plans.

• Innovation & Technology Utilization:

  Embrace and leverage advanced technologies, including Generative AI, to enhance data analysis and insight generation.

  Engineer effective prompts and queries to develop deeper insights and answer complex questions using GenAI and other analytical tools.

• All other duties as assigned.

What you’ll bring (Qualifications)

• Bachelor’s degree in Health Administration, Public Health, Business, Statistics, or a related field
• 4+ years of experience in self‑funded healthcare space with 8+ years in health plan administration, member health population management, with specific experience supporting self‑funded employer groups.
• Ideal candidate will be a tenured professional with 8+ years’ experience, working in consultative and/or analytical roles with a minimum of 4 years in the self‑funded healthcare space.
• Knowledge of the medical and pharmacy payer industry, including experience with claims and eligibility data.
• Proven expertise in addressing the unique needs and challenges of self‑funded employers, with an ability to develop and communicate strategies that address cost management, plan design, and member health outcomes.
• Strong self‑starter mentality with the ability to work independently, manage time effectively, and proactively address client needs.
• Exceptional communication and presentation skills, with a demonstrated ability to engage senior stakeholders and present data in a clear, impactful way.
• Proficiency in data presentation tools and analytics platforms (e.g., Tableau, Excel, or similar).
• Strong problem-solving and interpersonal skills, with a client‑centric and proactive approach.
• Protect and take care of our company and member’s data every day by committing to work within our company ethics and policies
• Ability to travel to client locations as needed
• Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook, Word, Excel, PowerPoint), IM/video conferencing (Teams & Zoom), and telephones efficiently.
• A high degree of personal accountability and trustworthiness, a commitment to working within Quantum Health’s policies, values and ethics, and to protecting the sensitive data entrusted to us.

What’s in it for you:

• Compensation:Competitive base and incentive compensation
• Coverage:Health, vision and dental featuring our best‑in‑class healthcare navigation services, along with life insurance, legal and identity protection, adoption assistance, EAP, Teladoc services and more.
• Retirement:401(k) plan with up to 4% employer match and full vesting on day one.
• Balance:Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more.
• Development:Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development.
• Culture:Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people‑first values that drive every decision.
• Environment:A modern workplace with a casual dress code, open floor plans, full‑service dining, free snacks and drinks, complimentary 24/7 fitness center with group classes, outdoor walking paths, game room, notary and dry‑cleaning services and more!

What you should know:

• Internal Associates:Already a Healthcare Warrior? Apply internally through Lever
• Diversity, Equity and Inclusion:Quantum Health welcomes everyone. We value our diverse team and suppliers, we’re committed to empowering our ERGs, and we’re proud to be an equal opportunity employer.
• Sponsorship:Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.