Strategy Consultant – Utilization Management, Medical Policy

This is a fully remote position, open to applicants in Louisiana, +4 more states.

📋 Description

• Lead transformative initiatives within our Utilization Management and Medical Policy operations.

• Serve as a liaison between clinical decision-making and operational finance.

• Develop and implement comprehensive data models to assess medical policy and utilization management strategies.

• Spearhead the creation of a foundational model that considers cost savings and administrative expenses.

• Extract and transform data from centralized IT and data resources.

• Collaborate with data engineering teams to obtain essential data assets.

• Operate within the strategic parameters set by leadership to autonomously define and implement tactical actions.

⛳️ Requirements

• Master's Degree in Business, Healthcare, Economics, or a related field.

• Two years of post-graduate experience with strategy or management consulting firms (such as McKinsey, Boston Consulting Group, Booz & Company, Accenture (Strategy Practice), or Deloitte (Strategy Practice)) or internal strategy divisions of healthcare organizations (such as Aetna, United Health Group, WellPoint, GE).

• Six years of relevant experience in Business or Healthcare.

• Three to five or more years in healthcare strategy, healthcare economics, clinical analytics, or a related consulting role focused on tactical execution.

• Highly skilled in data manipulation and modeling (e.g., advanced SQL, Python/R, or complex Power BI/Tableau builds).

• Strong understanding of healthcare financial and operational datasets (claims, procedure codes, cost-of-care).

• Familiarity with Utilization Management, Medical Policy, and clinical terminologies (EHR, ICD-10, interoperability standards).

🏝️ Benefits

• Health insurance.

• 401(k) matching.

• Flexible work hours.

• Paid time off.

• Professional development opportunities.