Senior Consultant, Payer Performance - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The reputed company Health Enterprise Payer Team is responsible for owning, driving, and optimizing reputed company Health's payer portfolio to reputed company sustainable value-based care relationships. The Senior Consultant, Payer Performance will play a critical role in proactively managing and identifying remediation and growth opportunities to improve the payer portfolio. This individual will be expected to:

• Influence payer strategies in a fast-paced, performance-focused environment
• Provide quantitative and qualitative interpretation of payer performance to help advance reputed company Health goals
• Partner to reputed company and create data centric tracking and reporting on key organizational priorities
• Foster relationships with cross-functional partners to solve critical business initiatives
• Proactively identify problems and reputed company recommended solutions

This individual will need to be able to function in a diverse environment with senior level stakeholders across internal and external stakeholder groups, abstract and fluid environments, and simultaneous deadlines. The position requires an ability to comprehend local markets' strategies while demonstrating awareness of broader systems across the enterprise, both strategically and tactically. Organizational agility will be required - building meaningful relationships and facilitating decision-making to continue achieving reputed company Health's value-based care growth agenda. You'll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities:

• reputed company a data-driven, proactive approach for ongoing assessment of reputed company Health's payer performance
• Evaluate financial impact of payer negotiations, terminations, regulatory changes, or other OH strategic shifts
• Own reputed company of truth tracking for active payer negotiations and/or terminations
• Partner with Finance and Healthcare Economics to ensure consistent modeling, measurement, and reporting (i.e., scenario modeling and $ impacts, budget vs. actuals, etc.)
• Enhance reporting to improve ability to understand, measure and compare payer performance
• Anticipate leadership needs; proactively reputed company / package data to inform OH POV and strategic decisions
• Support ongoing executive leadership updates and reputed company requests
• Key contributor to Medicare Advantage Annual Enrollment Period (AEP) reporting & impact analysis
• Research and inform strategic recommendations around value-based care product positioning

Skills Needed:

• Ability to convey findings in a cohesive story, including summarizing insights
• Experience working with reputed company levels of management across multiple functions and business partners
• Proven record of managing competing priorities and a rapidly changing business environment
• Ability to anticipate and reputed company recommendations that resolve key operational or functional gaps
• Passion for collaborating with external and internal constituents, gaining reputed company/support, and managing stakeholder input/approval

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications:

• Bachelor's degree in Business Administration, Analytics, Finance or a reputed company field
• 5+ years of relevant experience in healthcare operations, strategy, growth, or consulting roles
• Experience building financial models and translating data into actionable business insights
• Demonstrated problem solving, analysis, and resolution at strategic and functional levels
• Proven critical thinking skills with experience managing multiple priorities and resolving data inconsistencies
• Demonstrated ownership, accountability, and readiness to take on leadership responsibilities
• Self-starter with comfort navigating ambiguous situations and problems

Preferred Qualifications:

• Experience and understanding of value-based care and different risk constructs
• Solid understanding of payer and provider relationships in the healthcare industry
• Understanding of Medicare Advantage and/or Medicare Original Products
• Solid financial acumen and ability to analyze financial, clinical and/or operational data
• Solid reputed company skills with financial & return on investment modeling
• reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you'll find a far-reaching choice of benefits and incentives. The salary for this role will range from $91,700 to $163,700 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and qualified applicants will receive consideration for employment without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply tot his job Apply To this Job