Principal Consultant – Medicare Provider Network Strategy

Health Care Service Corporation

. Assist with leading short-term and long-term initiatives related to Medicare Advantage provider network strategy .

Posted 10/7/2026full-timeRemote • United StatesMid-LevelSenior💰 $92,700 - $167,500 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in strategic planning, network management, and business analytics within the healthcare industry, particularly in Medicare Advantage. Proven ability to lead complex initiatives, drive results in a matrixed environment, and communicate effectively with executive leadership.

Highest-signal resume keywords

Strategic PlanningBusiness AnalyticsMedicare Advantage Provider NetworksCross-Functional LeadershipProblem-Solving Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisProgram ManagementFinancial ManagementMarket ResearchInformation SynthesisStrategic ConsultingPerformance IndicatorsMedicare StarsMedicare Risk AdjustmentMedicare Finance

Soft Skills

Interpersonal SkillsPresentation SkillsWritten CommunicationVerbal CommunicationDetail Orientation

Certifications & Qualifications

MBAMHAJuris Doctor

Industry Keywords

Healthcare IndustryHealth InsuranceMedicare AdvantageNetwork ManagementStrategic Initiatives

About the role

Key responsibilities & impact

Assist with leading short-term and long-term initiatives related to Medicare Advantage provider network strategy
Support and lead major, complex, and strategic network initiatives from inception to completion
Analyze Medicare network data using internal and external sources
Support prioritization of divisional initiatives and track progress toward goals
Assist the leadership team with executing the business plan, strategies, analytics, and data needs for the division
Work with divisional leadership on strategies and business plans for strategic network initiatives
Identify and present network trends and insights
Interact with all levels of cross-functional management, including senior divisional leadership
Work directly with corporate leadership
Drive results across departments in a matrixed environment

Requirements

What you’ll need

Bachelor’s degree and 6 years’ experience in health care, health insurance, or strategic consulting environment OR Bachelor degree and 5 years consulting experience involving strategic planning, business development and financial management operations OR 8 years of experience strategic planning, market research, network management, or product development in health care industry
Experience leading and formulating strategy with the ability to build strong connections with people and teams
Ability to work within a very fast-paced, quickly evolving organization and manage multiple, complex priorities
Ability to work directly with corporate leadership
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
Analytical, program management, and problem-solving skills
Advanced degree such as Juris Doctor, MBA, or MHA preferred
Health insurance or healthcare industry experience supporting Medicare Advantage preferred
Advanced knowledge of Medicare Advantage provider networks, key performance indicators, trends, and financial acumen preferred
Knowledge of Medicare Stars, Medicare Risk Adjustment, Medicare Finance, and Medicare Plan types preferred
Strong executive-level communication, presentation, and writing skills preferred
Experience digesting and solutioning for complex conceptual and operational problems preferred
Aptitude for analytical up and downstream thinking, information seeking, openness to learn, and thoroughness/detail orientation preferred
Must be able to work remotely within the continental United States, excluding California, New York, Alaska, and Hawaii

Benefits

Comp & perks

Curated development plans and professional development opportunities
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
Annual incentive bonus plan
Other incentives
Equal opportunity employment
Drug-free and smoke-free workplace