The Strategic Insights Manager (SIM) is a highly specialized, senior-level champion who sits at the intersection of clinical insight, financial analytics, and strategic operations. This role is dedicated entirely to managing, growing, and retaining Quest's Top 12-15 Physician Customers within the region. Acting as a strategic advisor, the SIM leverages high-end data analytics to drive improved clinical outcomes for our clients while managing a full regional portfolio P&L to optimize Quest's profitability and defend against diagnostic internalization.
This is a hybrid position based in Houston, TX.
Responsibilities:
Defensive Strategy & Prevention of Internalization (Approx. 25%)
- Proactively evaluates assigned top-tier accounts for structural signs of internalization risk, such as intent to establish in-house Physician Office Labs (POLs) or contract with competing reference laboratories.
- Builds and delivers comprehensive, customized "Make vs. Buy" financial models for clients, clearly demonstrating the hidden operational costs, staffing burdens, regulatory compliance risks, and capital expenditures of running an in-house lab compared to outsourcing to Quest.
- Formulates and negotiates highly tailored pricing, digital connectivity, and specialized diagnostic menu packages to lock in long-term alignment and make internalization economically unfavorable for the client.
Clinical Outcomes & Data-Driven Insights (Approx. 20%)
- Analyzes physician-specific test utilization patterns to identify gaps in care and opportunities to introduce advanced diagnostics (e.g., oncology, prenatal genetics, cardiometabolic panels) that improve patient management.
- Supports client physician groups in achieving value-based care objectives, including MIPS, HEDIS, and ACO targets, by tracking and presenting clear gaps in patient compliance and screening.
- Translates complex clinical diagnostic data into highly actionable, clear, and strategic narratives for physician stakeholders, proving the tangible impact of Quest's insights on their patient populations.
Commercial Collaboration & Strategic Growth (Approx. 20%)
- Partners closely with local Physician Account Executives (PAEs) and Sales Directors (SDs) to conduct regional market assessments and build customized account growth strategies.
- Identifies under-utilized, high-value clinical tests within the target accounts to enable PAEs to execute highly targeted, clinical upsell conversations.
- Co-leads structured joint business reviews with commercial teams, presenting a unified, consultative, and executive-ready Quest front to client leadership.
Financial Stewardship & P&L Management (Approx. 15%)
- Maintains end-to-end accountability for the revenue, margins, and operational costs associated with the top 12-15 assigned physician accounts in the regional portfolio.
- Collaborates with the Quest Finance organization to audit account-specific cost structures, analyze pricing agreements, and execute margin-improvement strategies.
- Identifies and reduces billing friction, improves clean-claim rates, and optimizes the regional payer mix within key client locations to protect and grow overall account profitability.
Operational & Staffing Optimization (Approx. 15%)
- Collaborates with Patient Services leadership to optimize the placement, scheduling, and utilization of In-Office Phlebotomists (IOPs) and Patient Service Center (PSC) resources allocated to target accounts.
- Measures, monitors, and improves key operational metrics, including patient wait times, specimen processing speed, and draw success rates, to ensure a premium patient experience.
- Aligns with logistics and laboratory operations to guarantee seamless specimen transport, courier schedules, and rapid turnaround times (TAT) for the designated accounts.
Executive Reporting & Communication (Approx. 5%)
- Prepares and presents portfolio health dashboards, growth metrics, internalization threat assessments, and strategic progress reports directly to Quest's C-suite and regional executive leadership.
- Establishes strong, peer-to-peer consultative relationships with client Chief Medical Officers (CMOs), Chief Financial Officers (CFOs), and Chief Executive Officers (CEOs).
Qualifications:
Required WorkExperience:
- 7+ years of experience in the healthcare, medical device, or diagnostics industry.
- Proven track record of managing large enterprise accounts or high-value customer portfolios.
Preferred Work Experience:
- Demonstrated experience owning and driving a complex profit-and-loss (P&L) structure, with a deep understanding of healthcare economics and margin optimization.
- Deep familiarity with physician office workflows, electronic health record (EHR) integrations, and clinical test utilization.
Physical and Mental Requirements:
- Ability to sit or stand for extended periods in both standard office environments and client clinical settings.
- Strong mental acuity, analytical reasoning, and complex problem-solving capabilities under high-pressure scenarios.
- Excellent oral and written communication skills; ability to articulate complex financial and clinical data clearly and confidently to C-suite executives.
- Ability to travel routinely to regional client sites.
Knowledge:
- Advanced proficiency in data-driven storytelling and financial modeling.
- High competency in utilizing business intelligence tools (e.g., Tableau, PowerBI, Excel) to extract actionable trends from raw, complex data sets.
- Strong understanding of healthcare economics, payer mixes, and diagnostic testing menus.
Skills:
- Executive presence with strong negotiation and consultative selling skills.
- High-level strategic and critical thinking.
- Exceptional cross-functional leadership and collaboration skills.
Work Environment:
- Standard office environment and client clinical office settings.
- Travel Required.
- English Required
Education:
- 4-year Degree (Bachelor's degree in Business, Finance, Healthcare Administration, Life Sciences, or a related quantitative field) (Required)
- MBA, MHA, or advanced clinical degree (Preferred)
Technical Training or Professional Licensing:
- Six Sigma Green Belt or Black Belt certification (Ability to apply Lean/DMAIC methodologies to optimize clinical workflows, phlebotomy staffing, and specimen tracking). (Preferred)
Quest Diagnostics honors our service members and encourages veterans to apply.
Equal Opportunity Employer: Race/Color/Sex/Sexual Orientation/Gender Identity/Religion/National Origin/Disability/Vets or any other legally protected status.