Principal Healthcare Consultant

🕒 4 dias atrás

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🔴 Especialista

💼 Consultor

👻 Score fantasma 10%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Como pontuamos: tempo em aberto, republicações, vagas abertas vs tamanho do time, rapidez para fechar vagas, e se o salário está divulgado.Observação: é uma estimativa de dados públicos, não um julgamento da empresa. Vagas reais podem ter pontuação alta, então use como uma dica, não como um fato.

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501 - 1000 funcionários

Fundada em 1987

💼 Consultoria

🛡️ Seguros

🏥 Saúde

Consulting • Insurance • Healthcare

Fornecemos as capacidades e desenvolvemos os produtos e soluções que criam resultados mais saudáveis para vidas mais saudáveis. Nascidos dos Blues, para os Blues, nossos objetivos comuns estão tão alinhados com as estratégias dos planos de saúde que, quando nossos clientes têm sucesso, nós também temos.

Descrição

• Advise health plan executives on product strategy and innovation • Lead product strategy engagements from framing through executive readout, including portfolio review, product concept definition, and prioritized roadmaps • Define and design competitive health plan products, including benefit and plan design, network and pricing constructs, and funding arrangements • Work with product, actuarial, finance, and sales partners to balance cost, value, and feasibility • Help plans respond to tailored employer group needs through configurable offerings and shared capabilities • Assess market, regulatory, and competitive dynamics to shape differentiated offerings • Translate product strategy into executable plans, targets, success measures, and timelines • Lead strategic engagements and direct other consultants through operational design, configuration, and enablement • Participate in strategic pre-sales pursuits, lead executive discoveries, frame customer problems, and establish value cases • Develop practice points of view and reusable frameworks on health plan product strategy and innovation • Share insights through customer forums, industry events, and published perspectives, including case studies and customer outcome proof points • Share customer and market insight with product management to inform roadmap priorities and positioning

🎯 Requisitos

• Consulting or advisory experience serving health plans • Experience at a Blue Cross Blue Shield plan or national carrier, or familiarity with Blues plan operations and inter-plan programs • Product leadership across multiple lines of business, including Medicare Advantage product development and bid experience • Familiarity with core payer administration platforms and how platform capabilities enable or constrain product design • Published perspectives, industry speaking, or recognized thought leadership in health plan product strategy • 10 years of experience in healthcare payer operations, product management, product strategy, healthcare consulting, or related leadership roles • 5 years of experience leading complex strategic initiatives or consulting engagements • 5 years of experience working on or with health plans • 8 years in consulting, strategy or solution design • Experience engaging with executive stakeholders and influencing strategic business decisions • Experience leading cross-functional initiatives involving multiple business functions and stakeholder groups • Bachelor’s degree in healthcare administration, Business Administration, Public Health, Finance, Marketing, or a related field or equivalent experience • Must have legal authority to work in the US • Must be able to use workstation at least 8 hours a day

🏖️ Benefícios

• Fully remote work from home • Choice of Blue Cross Blue Shield Medical, Dental, and Vision Plans • Telehealthcare for Medical and Behavioral visits • Generous PTO with buy/sell options • 9 Company holidays, a floating day off, and a day off for volunteering • Employee Assistance Program • Wellness program with insurance discounts or credit towards health-related items • 401K Plan with employer matching contributions • Company-funded spending/reimbursement accounts for out-of-pocket medical expenses • Bonus and Recognition programs • Tuition Assistance • Consultation with financial planner • Basic Life & AD&D Insurance and Short and Long-Term Disability Insurance provided • Supplemental Term Life Insurance available • Group Discount programs for mobile and technology services • E-Learning library available on demand at no cost

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