Benefits Consultant
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Network and Value Innovations Consultant
We are looking for an experienced healthcare professional to support, drive, and influence Risk Strategies Consulting s plan sponsor, provider, and health plan innovation initiatives. The ideal candidate has an extensive background in the healthcare landscape including experience with medical and pharmacy, provider contracting, provider quality standards and evidence-based medicine, network management, managed care, healthcare systems and interoperability, payer operations, clinical and outcomes-based strategies, and population health management. The candidate must be a motivated, well-organized, self-starter with demonstrated success in leadership who thrives in a fast-paced and dynamic work environment.
Responsibilities
Collaborates with strategic visionaries and various subject matter experts to help design, plan, build, and execute on various healthcare innovation projects
Applies industry knowledge to support innovation projects through effective planning, cross-practice alignment, and hands-on work product development
Engages with internal and external stakeholders to enhance innovative thinking around the company and to identify areas of innovation and growth
Supports clients directly with research, development, and implementation of innovative strategies
Develops comprehensive innovation planning across Risk Strategies Consulting and delivers work products timely based on established milestones and deadlines
Conducts industry research to identify new trends and opportunities for new product or services development
Manages a portfolio of projects efficiently, in an organized manner, and while prioritizing key deliverables through a client-first approach
Interfaces directly with clients, key stakeholders, and senior leadership
Qualifications Required:
Bachelor s degree in health administration, public health, information systems, finance, law, or related healthcare field
4+ years of healthcare experience with a benefits consulting firm, payer, health plan, health system, provider, pharmacy benefit manager (PBM), point solution, and/or any other healthcare delivery entity
4+ years of experience working with external clients
Managed care experience including cost and trend mitigation strategies oriented around elements such as cost and quality of care, utilization management programs, payment integrity functions, healthcare costing analysis, and strategic planning; and contracting strategies for different types of healthcare providers such as health systems, facilities, physicians, and ancillary providers.
Experience with value based contracting and constructs including pay for performance, episodic pricing and case rates, preferred provider procurement, centers of excellence strategies, and/ or total cost of care arrangements
Experience with developing, implementing, and monitoring efficient benefit delivery systems, managed care strategies, and/ or flexible benefit program designs on behalf of plan sponsors
Experience with population risk management such as patient care coordination, member concierge and advocacy models, home health, and virtual care
Proven success in effective planning and delivering both individual and companywide goals and objectives
Strong analytical, technical, conceptual, and problem-solving skills.
Ability to evaluate complex business requirements for the purpose of developing comprehensive solutions
Strong business acumen with knowledge of the clinical aspects of patient care, medical terminology, electronic medical records, and interoperability dynamics
Solid interpersonal skills, oral and written communication skills, and a professional presence.
Ability to effectively lead a team of individuals with varying backgrounds and skill sets, promote cross-training, and maximize productivity
Ability to work proficiently with Microsoft Excel, Word, and PowerPoint Preferred:
Master s or other advanced degree in health administration, public health, information systems, finance, law, or related healthcare field.
6+ years of healthcare experience with a benefits consulting firm, payer, health plan, health system, provider, PBM, point solution, and/or any other healthcare delivery entity.
6+ years of experience working with external clients.
3+ years of health plan experience
Professional clinical background
Experience in working directly with providers
Exposure to client advisory boards
Merger and acquisition experience
Pharmacy benefit management experience
Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, the firm serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and nearly 5,000 employees across the US and Canada.
Industry recognition includes being named a Best Places to Work in Insurance for five consecutive years (2018-2022) and to the Inc. 5000 list as one of America s Fastest Growing Private Companies. Risk Strategies is committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.
Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: .
We are looking for an experienced healthcare professional to support, drive, and influence Risk Strategies Consulting s plan sponsor, provider, and health plan innovation initiatives. The ideal candidate has an extensive background in the healthcare landscape including experience with medical and pharmacy, provider contracting, provider quality standards and evidence-based medicine, network management, managed care, healthcare systems and interoperability, payer operations, clinical and outcomes-based strategies, and population health management. The candidate must be a motivated, well-organized, self-starter with demonstrated success in leadership who thrives in a fast-paced and dynamic work environment.
Responsibilities
Collaborates with strategic visionaries and various subject matter experts to help design, plan, build, and execute on various healthcare innovation projects
Applies industry knowledge to support innovation projects through effective planning, cross-practice alignment, and hands-on work product development
Engages with internal and external stakeholders to enhance innovative thinking around the company and to identify areas of innovation and growth
Supports clients directly with research, development, and implementation of innovative strategies
Develops comprehensive innovation planning across Risk Strategies Consulting and delivers work products timely based on established milestones and deadlines
Conducts industry research to identify new trends and opportunities for new product or services development
Manages a portfolio of projects efficiently, in an organized manner, and while prioritizing key deliverables through a client-first approach
Interfaces directly with clients, key stakeholders, and senior leadership
Qualifications Required:
Bachelor s degree in health administration, public health, information systems, finance, law, or related healthcare field
4+ years of healthcare experience with a benefits consulting firm, payer, health plan, health system, provider, pharmacy benefit manager (PBM), point solution, and/or any other healthcare delivery entity
4+ years of experience working with external clients
Managed care experience including cost and trend mitigation strategies oriented around elements such as cost and quality of care, utilization management programs, payment integrity functions, healthcare costing analysis, and strategic planning; and contracting strategies for different types of healthcare providers such as health systems, facilities, physicians, and ancillary providers.
Experience with value based contracting and constructs including pay for performance, episodic pricing and case rates, preferred provider procurement, centers of excellence strategies, and/ or total cost of care arrangements
Experience with developing, implementing, and monitoring efficient benefit delivery systems, managed care strategies, and/ or flexible benefit program designs on behalf of plan sponsors
Experience with population risk management such as patient care coordination, member concierge and advocacy models, home health, and virtual care
Proven success in effective planning and delivering both individual and companywide goals and objectives
Strong analytical, technical, conceptual, and problem-solving skills.
Ability to evaluate complex business requirements for the purpose of developing comprehensive solutions
Strong business acumen with knowledge of the clinical aspects of patient care, medical terminology, electronic medical records, and interoperability dynamics
Solid interpersonal skills, oral and written communication skills, and a professional presence.
Ability to effectively lead a team of individuals with varying backgrounds and skill sets, promote cross-training, and maximize productivity
Ability to work proficiently with Microsoft Excel, Word, and PowerPoint Preferred:
Master s or other advanced degree in health administration, public health, information systems, finance, law, or related healthcare field.
6+ years of healthcare experience with a benefits consulting firm, payer, health plan, health system, provider, PBM, point solution, and/or any other healthcare delivery entity.
6+ years of experience working with external clients.
3+ years of health plan experience
Professional clinical background
Experience in working directly with providers
Exposure to client advisory boards
Merger and acquisition experience
Pharmacy benefit management experience
Risk Strategies is the 9th largest privately held US brokerage firm offering comprehensive risk management advice, insurance and reinsurance placement for property & casualty, employee benefits, private client services, as well as consulting services and financial & wealth solutions. With more than 30 specialty practices, the firm serves commercial companies, nonprofits, public entities, and individuals, and has access to all major insurance markets. Risk Strategies has over 100 offices and nearly 5,000 employees across the US and Canada.
Industry recognition includes being named a Best Places to Work in Insurance for five consecutive years (2018-2022) and to the Inc. 5000 list as one of America s Fastest Growing Private Companies. Risk Strategies is committed to being good stewards for our company, culture, and communities by having a strong focus on Environmental, Social, and Governance issues.
Risk Strategies is an equal opportunity workplace and is committed to ensuring equal employment opportunity without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, Veteran status, or other legally protected characteristics. Learn more about working at Risk Strategies by visiting our careers page: .
Employers have access to artificial intelligence language tools (“AI”) that help generate and enhance job descriptions and AI may have been used to create this description. The position description has been reviewed for accuracy and Dice believes it to correctly reflect the job opportunity.
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