[Hiring] Principal Consultant - Medicare Provider Network Strategy @Health Care Service Corporation

Role Description

This position is responsible for assisting with leading short-term and long-term initiatives related to Medicare Advantage provider network strategy. Responsibilities include:

• Support and lead major, complex and strategic network initiatives from inception to completion.
• Analyze Medicare network data using internal and external sources to support the prioritization of divisional initiatives and track progress to goals.
• Assist the leadership team on executing the business plan, strategies, analytics, and data needs for the division.
• Work with divisional leadership on strategies and business plans for strategic network initiatives.
• Identify and present network trends and insights while interacting with all levels of cross-functional management, including senior divisional leadership.

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 in 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 a 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.

Requirements

• 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 for 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.

Benefits

• 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.
• Other incentives.

Company Description

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.