Senior Managed Care Contracting Consultant

🔥 23 hours ago

🔔 Pennsylvania – Remote

🔔 Pennsylvania – Remote

💵 $122.9k - $202.7k / year

⏰ Full Time

🟠 Senior

💼 Consultant

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

Apply Now

Find Similar Remote Jobs

Set Up Email Alert For New Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Trinity Health

WebsiteLinkedInAll Job Openings

10,000+ employees

📚 Education

🤝 Non-profit

🌍 Social Impact

Education • Non-profit • Social Impact

Trinity Health is a Christian K-12 educational institution located in Wichita, Kansas, dedicated to providing a Christ-centered education that nurtures spiritual growth and academic excellence. The academy emphasizes the importance of faith in students' lives, integrating spiritual development with rigorous academic programs and a broad array of extracurricular activities, including athletics and fine arts. Trinity Health fosters a supportive community where teachers and families collaborate to help students develop a personal relationship with Jesus Christ and excel in their studies.

📋 Description

• Knows, understands, incorporates and demonstrates the mission, vision and values of Trinity Health in leadership behaviors, practices and decisions. • Leads and maintains business owner responsibility for projects of all sizes. Defines and manages project plans and goals; conducts business workflow mapping; impact analyses and modeling; applies action steps, develops status reports or communication plans and keeps senior executives, management and key stakeholders apprised ensuring project plans and deliverables are met and in alignment with organization goals. • Provides a leadership advisory role in problem solving, responding to challenges and potential risk factors and assists in identifying, understanding and utilizing process improvement methodologies. • Establishes strategies and goals for colleagues, manages resources within budget targets, coordinating allocation of staff resources assigned to achieve optimal outcomes. • Performs all managerial tasks associated with effective day-to-day operations of a team of individuals and the PS&PD function. Mentors, leads and helps train analysts; facilitates learning for other centralized and regional colleagues collaborating on payer strategy programs. • Directs the processes and guidelines around the configuration and maintenance of applicable Analytic Platforms. Develops reporting tools and dashboards for executive management using these systems and analytic tools. • Serves as a seasoned, knowledgeable resource providing an extensive understanding of strategic issues and tactical initiatives and ensuring processes, workforce, technology and culture factors are addressed in enterprise, RHM, and System Office plans. Develops recommendations that provide practical options and tactical solutions while considering the impact on processes, workforce, technology and culture. • Provides guidance to senior leaders regarding systems and processes for which they are responsible. Works to ensure alignment in terms of organizational priorities, adequate funding, executive sponsorship, business owner support, staff resources and financial stewardship goals. Applies operational improvement methodologies (i.e., change management techniques, management principles, process redesign, executive coaching, etc.) or systems implementation methodologies to achieve needed outcomes. • Establishes and prioritizes objectives to align with budget, resources and timing. Oversees and participates in multiple cross-functional teams to ensure that key initiatives are completed within budget, within scope and on time. Monitors, measures and reports on budget variances, resource constraints and operational issues. • Manages executive relationships to ensure active and focused engagement throughout initiatives. Participates in senior level forums and facilitates meetings and work groups to develop strategies, establish standards and resolve issues. Collaborates with leadership and key stakeholders to influence outcomes, remove barriers and resolve issues. May represent executive leader in various meetings. Apprises executive leaders and other key stakeholders of meeting content and outcomes. Serves as an escalation point for System Office and RHM concerns. • Establishes and maintains on-going effective relationships and communication to customers, senior leadership, managers, stakeholders, staff and partner/vendor organization related to projects, new opportunities, and standardization opportunities. Facilitates a coordinated communication plan for internal and external audiences in order to foster a greater understanding of the benefits and value of the System objectives as well as other accomplished initiatives. • Develops and implements strategies that incorporate business needs and requirements, industry trends and technology solutions which facilitates the achievement of strategic and financial objectives. • Oversees or directs the integration of vendor tasks and vendor deliverables. Leads or participates in vendor negotiations for products and services. Manages vendor service issues and maintains effective relationships. • Maintains a working knowledge of applicable Federal, state and local laws and regulations, Trinity Health's Organizational Integrity Program, Standards of Conduct, as well as other policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.

🎯 Requirements

• Bachelor’s degree in Public Health, Business Administration, Finance, Accounting, Economics, Informatics or related field. Master's or Doctoral degree preferred. • Seven (7) to ten (10) years of progressively responsible operational (management), project management or consulting experience in managed care analytics, medical economics reporting, product development or population health analytics or an equivalent combination of education and work experience. Previous managerial experience preferred. • Significant experience and proven results regarding complex project management or consulting experience in managed care analytics, medical economics reporting, and product development or population health analytics. • Significant experience gained from health plan, health system, the healthcare industry or a provider health network is required. • Demonstrated ability to lead and manage with frequent changes in departmental priorities. • Proven track record of effectively managing progressively large complex projects, which include the management of vendor relationships and multiple technology and analytic solutions to achieve a single business objective with proven successful delivery results. • Excellent program leadership, organization, integration and execution skills and abilities. Extensive experience in planning, formulating and executing strategies, as well as the ability to define program, process or business objectives and scope. Demonstrated proficiency and expertise to identify, evaluate and articulate operational opportunities, business needs and gaps, plan and implement steps, understand stakeholder interest and provide authoritative consultation. • Proven customer-service orientation. Ability to know and understand customer requirements and exercise judgment in meeting reasonable expectations, particularly when differences of opinion on needs and services, unanticipated contingencies or divergent ideas and perspectives exist. • Strong interpersonal and relationship building skills with proven ability to initiate and develop productive collaborative partnerships with executive leaders, management, associates, and customers, along with effective vendor interface/management experience. Ability to drive positive results in difficult situations and effectively respond to multiple, ever-changing and competing priorities. Formidable facilitation skills to lead and influence diverse member interests, teams and groups through strong leadership, communication, collaboration, negotiation and intuitive abilities. Ability to shape results, garner support and successfully manage complex relationships and influences within and across the organization. • Excellent oral and written communication, negotiation and presentation skills. Ability to translate and present technical information to clinical and operations staff (and vice versa). Ability to facilitate communication between diverse groups and interests, to effectively identify, assess and advance improvements and resolutions, and to provide advisory, consultative and authoritative recommendations to all levels of the organization. • Working knowledge of project management, change management, process improvement methodologies, and/or executive coaching. • Ability to operate in an ambiguous and highly matrix organizational structure. Ability to operate in a highly autonomous self-directed manner under frequently changing structures and requirements and work priorities. • Must possess a personal presence that is characterized by a sense of honesty, integrity and caring with the ability to inspire and motivate others to promote the philosophy, mission, vision, goals and values of Trinity Health.