Senior Strategic Healthcare Advisor
New
Q
Quantum HealthHealthcare benefits
Listing location: Dublin, OH / RemoteFull-TimeSenior
Salary not disclosed
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Job Details
- Experience
- 4+ years of experience in self-funded healthcare space with 8+ years in health plan administration, member health population management, with specific experience supporting self-funded employer groups.
- Required Skills
- TableauMicrosoft ExcelMicrosoft OfficeGenerative AI
Requirements
- Bachelor’s degree in Health Administration, Public Health, Business, Statistics, or a related field.
- At least 8 years of experience in health plan administration or member health population management.
- At least 4 years of experience in the self-funded healthcare space, including support for self-funded employer groups.
- Knowledge of the medical and pharmacy payer industry.
- Experience with claims and eligibility data.
- Ability to develop and communicate strategies addressing cost management, plan design, and member health outcomes.
- Proficiency with data presentation tools and analytics platforms such as Tableau, Excel, or similar.
- Strong communication and presentation skills, including the ability to engage senior stakeholders and clearly present data.
- Ability to work independently, manage time effectively, and proactively address client needs.
- Strong problem-solving and interpersonal skills, with a client-centric and proactive approach.
- Comfort using Microsoft Office, including Outlook, Word, Excel, and PowerPoint, as well as Teams, Zoom, and telephones.
- Ability to travel to client locations as needed.
Responsibilities
- Analyze healthcare data to identify trends, risks, opportunities, and drivers of plan and member experience, clinical outcomes, population health, and cost dynamics.
- Use analytical techniques and Generative AI to uncover insights and validate findings by investigating anomalies and data integrity.
- Identify populations driving costs and analyze behavioral, utilization, and location or division patterns.
- Advise clients on trends and their implications for future outcomes, health plan strategy, member health, and cost management.
- Identify opportunities involving benefits design, workplace conditions, partner solutions, or technology enhancements.
- Prepare and deliver presentations with insights, recommendations, and actionable strategies.
- Engage with clients and consultants, collaborating with Client Engagement teams to provide consultative and analytical support.
- Collaborate with internal teams and data specialists to develop tailored solutions and support action plans and implementation.
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