Principal Divisional Strategy Consultant – Governance

This is a fully remote position, open to applicants in Alabama, +41 more states.

📋 Description

• Ensure that field contractors adhere to contracting standards, regulatory requirements, established standard templates, reimbursement standards, network and contract policies, as well as the non-standard deviation process.

• Offer direct and continuous guidance and support to field contractors regarding contracting standards, lines of business (LOB) regulations, and the use of the Contract Management System (Contract Manager).

• Assist field contractors with non-standard issues.

• Collaborate closely with Legal, Compliance, and Matrix Leadership on policy, language, and “ability to administer” matters.

• Facilitate reporting and compliance with the Governance non-standards review process.

• Operate within the Governance Department responsible for Network Standards, Systems, Contracting Governance, and Network Governance for Providers and Suppliers.

• Contribute to the broader NBS Organization and collaborate within the larger NBS Governance Team.

• Lead and develop strategic initiatives.

• Drive results across various departments in a matrixed environment.

• Engage directly with corporate leadership.

• Manage multiple complex priorities.

⛳️ Requirements

• Bachelor’s degree and 6 years of experience in healthcare, health insurance, or a strategic consulting environment OR a Bachelor’s degree and 5 years of consulting experience in strategic planning, business development, and financial management operations OR 8 years of experience in strategic planning, market research, network management, or product development within the healthcare industry.

• Proven experience in leading and formulating strategy with the ability to cultivate strong connections with individuals and teams.

• Capability to drive results by collaborating across departments in a matrixed environment.

• Strong interpersonal skills, including presentation, written, and verbal communication.

• Experience in business analytics and information synthesis.

• Knowledge of strategic planning techniques and industry trends.

• Ability to thrive in a fast-paced, rapidly evolving organization while managing multiple complex priorities.

• Experience working directly with corporate leadership.

• Proficient in analytical, program management, and problem-solving skills.

• A background in Compliance, Regulatory Operations, or Audit is strongly preferred.

• Subject matter expertise in Contracting, Negotiating, Provider/Supplier Services, Project Management, Health Plan Operations, Health Plan Regulations, and Accreditation Standards.

• High level of business acumen and professionalism.

• Ability to interpret complex conditions and identify solutions for risk mitigation.

• Skills to foster collaboration, value diverse perspectives, and secure support and buy-in for organizational proposals.

• Proficient in matrix management and possess significant 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

• 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.