Live opening · Posted 8 hours ago

Principle Div Consultant- Medicare Provider Network Strategy - Remote

Health Care Service Corporation · United States (Remote)
Linkedin Yes
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At a glance

The key details from the original listing.

Posted 8 hours ago
CompanyHealth Care Service Corporation
LocationUnited States (Remote)
SalaryMedical benefit
Work modeYes
SourceLinkedin
ListedPosted 8 hours ago

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About the role

Description supplied by the original job listing.

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.
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.
Compensation: $92,700.00 - $167,500.00
Exact compensation may vary based on skills, experience, and location
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.
To learn more about available benefits, please click https://careers.hcsc.com/totalrewards

Work arrangement
Yes

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