Principal Division Consultant - Medicare Provider Network Strategy (Remote)

About the role

HCSC is hiring a Principal Division Consultant for Medicare provider network strategy, a fully remote position open to anyone in the continental United States except California, New York, Alaska and Hawaii. The role supports and leads short-term and long-term Medicare Advantage provider network initiatives from inception to completion, analyzing network data to prioritize divisional initiatives and track progress toward goals.

Key responsibilities

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

Required profile

• Bachelor's degree and 6 years' experience in health care, health insurance or strategic consulting; or 5 years of consulting experience in strategic planning, business development and financial management; or 8 years in strategic planning, market research, network management or product development in health care.
• Experience leading and formulating strategy and building strong connections with people and teams.
• Able to work in a fast-paced, evolving organization and manage multiple complex priorities.
• Directly works with corporate leadership and drives results across departments in a matrixed environment.
• Preferred: advanced degree such as JD, MBA or MHA.

Required skills

• Business analytics and information synthesis.
• Strategic planning techniques and knowledge of industry trends.
• Interpersonal skills, including presentation, written and verbal communication.
• Preferred: knowledge of Medicare Advantage provider networks, KPIs, trends and financial acumen, and of Medicare Stars, risk adjustment, finance and plan types (D-SNP, C-SNP, EGWP).

What we offer

• Base pay range of $92,700 to $167,500, varying with skills, experience and location.
• The role aligns with an annual incentive bonus plan subject to its terms and conditions.
• Benefits include health and wellness benefits, 401(k), pension plan, paid time off, paid parental leave, disability insurance, supplemental life insurance, employee assistance program, paid holidays, tuition reimbursement and other incentives.