Senior Strategic Healthcare Advisor
Senior Strategic Healthcare Advisor
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Job Description
Description
Location: This position may work remotely anywhere in the United States of America.
Who we are
Founded in 1999 and headquartered in Central Ohio were a privatelyowned independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone and were on a mission to make healthcare simpler and more effective for our millions of members. Our bighearted techsavvy team fights to ensure that our members get the care they need when they need it at the most affordable cost thats why we call ourselves Healthcare Warriors.
Were committed to building diverse and inclusive teams more than 2000 of us and counting so if youre excited about this position we encourage you to apply even if your experience doesnt match every requirement.
About the role
We are seeking a highly experienced Senior Strategic Healthcare Advisor/Consultant with deep expertise in health plan administration advanced healthcare data analysis and the specific challenges faced by selffunded employer groups. This seasoned professional will play a key role in analyzing complex healthcare data to provide forwardlooking insights and strategic recommendations that help clients optimize member health outcomes and health plan strategy. The ideal candidate is a talented orator curious forwardthinking and adept at leveraging advanced technologies including Generative AI GenAI to derive meaningful insights and guide decisionmaking.
What youll do (Essential Responsibilities)
Data Analysis & Insight Generation:
- Analyze and identify trends risks and future opportunities across a broad healthcare data set.
- Utilize advanced analytical techniques and tools including Generative AI GenAI to uncover underlying drivers in plan and member experience clinical outcomes population health and cost dynamics.
- Employ pattern recognition to determine which populations are driving costs understand behavioral/utilization differences and identify concentrations in specific divisions or locations.
- Validate data findings by probing deeper into anomalies and ensuring data integrity to produce meaningful insights.
Strategic Advisory & Future Planning:
- Act as a trusted advisor to clients providing forwardlooking insights into data trends and their implications for future outcomes.
- Identify opportunities to improve member health outcomes and cost management through changes in benefits design workplace conditions partner solutions or technology enhancements.
- Guide clients and their consultant partners in understanding the potential impact of industry shifts emerging trends and whats happening in the benefits world on their health plans and member populations.
Client Engagement & Presentation:
- Craft and deliver compelling presentations that highlight insights and recommendations emphasizing actionable strategies and measurable results.
- Engage directly with clients and consultants collaborating with Client
- Engagement (CE) teams to share insights and provide consultative assistance.
- Build and maintain strong client relationships serving as an adjunct analytical support and peer advisor including for clients with their own analysts on staff.
Healthcare Industry Expertise:
- Leverage deep understanding of health plan administration the medical and pharmacy payer landscape and challenges unique to selffunded employer groups.
- Stay abreast of developments in the healthcare and benefits industries that can impact client results including regulatory changes and emerging best practices.
Internal Collaboration & Solution Delivery:
- Collaborate with internal teams (Value Creation CE Pods Product Development Technology Actuarial Teams Data Specialists) to develop and implement tailored solutions addressing identified opportunities.
- Work with data teams to access and analyze data and with project management and implementation teams to support action plans.
Innovation & Technology Utilization:
- Embrace and leverage advanced technologies including Generative AI to enhance data analysis and insight generation.
- Engineer effective prompts and queries to develop deeper insights and answer complex questions using GenAI and other analytical tools.
All other duties as assigned.
What youll bring (Qualifications)
Bachelors degree in Health Administration Public Health Business Statistics or a related field
4 years of experience in selffunded healthcare space with 8 years in health plan administration member health population management with specific experience supporting selffunded employer groups.
Ideal candidate will be a tenured professional with 8 years experience working in consultative and/or analytical roles with a minimum of 4 years in the selffunded healthcare space.
Knowledge of the medical and pharmacy payer industry including experience with claims and eligibility data.
Proven expertise in addressing the unique needs and challenges of selffunded employers with an ability to develop and communicate strategies that address cost management plan design and member health outcomes.
Strong selfstarter mentality with the ability to work independently manage time effectively and proactively address client needs.
Exceptional communication and presentation skills with a demonstrated ability to engage senior stakeholders and present data in a clear impactful way.
Proficiency in data presentation tools and analytics platforms (e.g. Tableau Excel or similar).
Strong problemsolving and interpersonal skills with a clientcentric and proactive approach.
Protect and take care of our company and members data every day by committing to work within our company ethics and policies
Ability to travel to client locations as needed
Strong administrative/technical skills; Comfort working on a PC using Microsoft Office (Outlook Word Excel PowerPoint) IM/video conferencing (Teams & Zoom) and telephones efficiently.
A high degree of personal accountability and trustworthiness a commitment to working within Quantum Healths policies values and ethics and to protecting the sensitive data entrusted to us.
#LIKT1
#LIRemote
Whats in it for you
- Compensation: Competitive base and incentive compensation
- Coverage: Health vision and dental featuring our bestinclass healthcare navigation services along with life insurance legal and identity protection adoption assistance EAP Teladoc services and more.
- Retirement: 401(k) plan with up to 4 employer match and full vesting on day one.
- Balance: Paid Time Off (PTO) 7 paid holidays parental leave volunteer days paid sabbaticals and more.
- Development: Tuition reimbursement up to $5250 annually certification/continuing education reimbursement discounted higher education partnerships paid trainings and leadership development.
- Culture: Recognition as a Best Place to Work for 15 years dedication to diversity philanthropy and sustainability and peoplefirst values that drive every decision.
- Environment: A modern workplace with a casual dress code open floor plans fullservice dining free snacks and drinks complimentary 24/7 fitness center with group classes outdoor walking paths game room notary and drycleaning services and more!
What you should know
- Internal Associates: Already a Healthcare Warrior Apply internally through Jobvite.
- Process: Application > Phone Screen > Online Assessment(s) > Interview(s) > Offer > Background Check.
- Diversity Equity and Inclusion: Quantum Health welcomes everyone. We value our diverse team and suppliers were committed to empowering our ERGs and were proud to be an equal opportunity employer .
- TobaccoFree Campus: To further enable the health and wellbeing of our associates and community Quantum Health maintains a tobaccofree environment. The use of all types of tobacco products is prohibited in all company facilities and on all company grounds.
- Compensation Ranges: Compensation details published by job boards are estimates and not verified by Quantum Health. Details surrounding compensation will be disclosed throughout the interview process. Compensation offered is based on the candidates unique combination of experience and qualifications related to the position.
- Sponsorship: Applicants must be legally authorized to work in the United States on a permanent and ongoing future basis without requiring sponsorship.
- Agencies: Quantum Health does not accept unsolicited resumes or outreach from thirdparties. Absent a signed MSA and request/approval from Talent Acquisition to submit candidates for a specific requisition we will not approve payment to any third party.
Reasonable Accommodation: Should you require reasonable accommodation(s) to participate in the application/interview/selection process or in order to complete the essential duties of the position upon acceptance of a job offer click here to submit a recruitment accommodation request.
Recruiting Scams: Unfortunately scams targeting job seekers are common. To protect our candidates we want to remind you that authorized representatives of Quantum Health will only contact you from an email address ending in @quantumhealth. Quantum Health will never ask for personally identifiable information such as Date of Birth (DOB) Social Security Number (SSN) banking/direct/tax details etc. via email or any other nonsecure system nor will we instruct you to make any purchases related to your employment. If you believe youve encountered a recruiting scam report it to the Federal Trade Commission and your states Attorney General.
Required Experience:
Senior IC
Employment Type
Advisor
