[Hiring] Senior Strategic Healthcare Advisor @Quantum Health

Role Description

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.

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

Requirements

• 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

Benefits

• Competitive base and incentive compensation
• 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
• 401(k) plan with up to 4% employer match and full vesting on day one
• Paid Time Off (PTO), 7 paid holidays, parental leave, volunteer days, paid sabbaticals, and more
• Tuition reimbursement up to $5,250 annually, certification/continuing education reimbursement, discounted higher education partnerships, paid trainings and leadership development
• Recognition as a Best Place to Work for 15+ years, dedication to diversity, philanthropy and sustainability, and people-first values that drive every decision
• 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