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4 дня назад

Prin Div Strategy Consultant - Governance (Remote)

92 700 - 167 500$
Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
senior
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
Prin Div Strategy Consultant - Governance (Remote) (Health Insurance Governance): Ensuring field contractors comply with contracting standards, regulatory requirements, reimbursement standards, network policies, and non-standard deviation processes with an accent on governance, compliance, and contract administration. Focus on guiding contractors through complex contracting issues, coordinating with Legal and Compliance, and improving reporting and non-standard review processes.

Location: Remote, based in or associated with Chicago, Illinois, United States

Base pay: $92,700–$167,500 annually, plus eligibility for an annual incentive bonus.

Company

hirify.global operates in the health care and health insurance sector.

What you will do

  • Ensure field contractors comply with contracting standards, regulatory requirements, reimbursement standards, network policies, and approved templates.
  • Provide ongoing guidance on contracting standards, line-of-business regulations, and the Contract Manager system.
  • Support the review and resolution of non-standard contracting issues.
  • Collaborate with Legal, Compliance, and matrix leadership on policy, contract language, administration requirements, reporting, and governance reviews.
  • Contribute to Network Standards, Systems, Contracting Governance, and Network Governance for providers and suppliers.

Requirements

  • Bachelor’s degree and 6 years of experience in health care, health insurance, or strategic consulting; or a bachelor’s degree and 5 years of consulting experience in strategic planning, business development, and financial management operations; or 8 years of relevant health care industry experience.
  • Experience leading and formulating strategy, building strong relationships, and working across departments in a matrixed environment.
  • Experience with business analytics, information synthesis, strategic planning techniques, and industry trends.
  • Strong presentation, written and verbal communication, analytical, program management, and problem-solving skills.
  • Ability to work with corporate leadership and manage multiple complex priorities in a fast-paced organization.

Nice to have

  • Background in Compliance, Regulatory Operations, or Audit.
  • Subject matter expertise in contracting, negotiation, provider or supplier services, project management, health plan operations, regulations, or accreditation standards.
  • Experience translating complex conditions into risk-mitigation solutions and leading organizational change.
  • Strong business acumen, matrix management, collaboration, and relationship management skills.

Culture & Benefits

  • Professional development plans supporting career growth.
  • Health and wellness benefits, including medical-related coverage and disability insurance.
  • 401(k) savings plan, pension plan, paid time off, paid parental leave, and paid holidays.
  • Supplemental life insurance, employee assistance program, tuition reimbursement, and other incentives.

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