4 дня назад
Prin Div Strategy Consultant - Governance (Remote)
92 700 - 167 500$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
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
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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