Principal Division Strategy Consultant – Governance

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🔥 0 minutes ago

🌽 Illinois – Remote

🌽 Illinois – Remote

💵 $92.7k - $167.5k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Strategy

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Health Care Service Corporation

WebsiteLinkedInAll Job Openings

10,000+ employees

🛡️ Insurance

💼 Consulting

🏥 Healthcare

Insurance • Consulting • Healthcare

Health Care Service Corporation is an independent licensee of the Blue Cross Blue Shield Association, serving nearly 23 million people across the United States with a wide range of health benefit solutions. The company provides health coverage options for various groups, including employers, individuals, families, as well as Medicare and Medicaid plans. In addition to health insurance, HCSC offers services such as pharmacy solutions, life and dental insurance, and health data technology. With nearly a century of experience, HCSC is dedicated to improving access to quality care, enhancing health outcomes, and reducing costs while maintaining a deep commitment to its members and local communities.

📋 Description

• Ensure field contractors comply with contracting standards, regulatory requirements, governing standard templates, reimbursement standards, network and contract policy, and the non-standard deviation process • Provide direct and ongoing guidance and support to field contractors on contracting standards, LOB regulations, and use of the Contract Management System (Contract Manager) • Support field contractors on non-standard issues • Work closely with Legal, Compliance, and Matrix Leadership on policy, language, and “ability to administer” issues • Support reporting and compliance with the Governance non-standards review process • Work within the Governance Department responsible for Network Standards, Systems, Contracting Governance, and Network Governance for Providers and Suppliers • Support the broader NBS Organization and larger NBS Governance Team

🎯 Requirements

• Bachelor’s degree and 6 years’ experience in health care, health insurance, or strategic consulting environment OR Bachelor’s degree and 5 years consulting experience involving strategic planning, business development, and financial management operations OR 8 years of experience in strategic planning, market research, network management, or product development in the health care industry • Experience leading and formulating strategy with the ability to build strong connections with people and teams • Ability to drive results by working across departments in a matrixed environment • Interpersonal skills, including presentation, written and verbal communication • Experience with business analytics and information synthesis • Knowledge of strategic planning techniques and industry trends • Ability to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities • Ability to work directly with corporate leadership • Analytical, program management, and problem-solving skills • Strongly preferred background in Compliance, Regulatory Ops, or Audit • Subject Matter Expertise in Contracting, Negotiating, Provider/Supplier Services, Project Management, Health Plan Operations, Health Plan Regulations, and Accreditation Standards • High degree of business acumen and professionalism • Ability to translate complex conditions and identify solutions for risk mitigation • Ability to foster collaboration, value others’ perspectives, and gain support and buy-in for organizational proposals • Matrix management skills and high levels of business acumen • Ability to drive and lead an organization through change • Excellent interpersonal and relationship management skills

🏖️ Benefits

• Health and wellness benefits • 401(k) savings plan • Pension plan • Paid time off • Paid parental leave • Disability insurance • Supplemental life insurance • Employee assistance program • Paid holidays • Tuition reimbursement • Other incentives • Annual incentive bonus plan