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Principal Divisional Strategy Consultant – Governance
Health Care Service Corporation. Ensure field contractors comply with contracting standards, regulatory requirements, governing standard templates, reimbursement standards, network and contract policy, and the non-standard deviation process .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in Contracting, Regulatory Compliance, and Strategic Planning within the health care industry, with a strong ability to manage complex priorities and drive results in a matrixed environment. Proven skills in relationship management, analytical problem-solving, and fostering collaboration across departments.
Highest-signal resume keywords
Contract Management SystemStrategic PlanningRegulatory ComplianceBusiness AnalyticsMatrix Management
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ContractingNegotiatingProject ManagementHealth Plan OperationsHealth Plan RegulationsAccreditation StandardsInformation SynthesisAnalytical SkillsProblem-SolvingFinancial Management
Soft Skills
Interpersonal SkillsPresentation SkillsWritten CommunicationVerbal CommunicationRelationship Management
Tools & Technologies
Contract Manager
Industry Keywords
Health CareHealth InsuranceStrategic ConsultingComplianceRegulatory OpsAuditMarket ResearchProvider ServicesSupplier ServicesChange Management
About the role
Key responsibilities & impact- 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 work within the larger NBS Governance Team
- Lead and formulate strategy
- Drive results across departments in a matrixed environment
- Work directly with corporate leadership
- Manage multiple complex priorities
Requirements
What you’ll need- 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 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
- Employment may be contingent upon successful completion of drug screening in accordance with applicable law
Benefits
Comp & perks- 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 subject to the terms and conditions of the plan