Principal Division Strategy Consultant – Governance

• 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 larger NBS Governance Team

Requirements

• 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 the 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

Core Competencies

Demonstrates expertise in Contracting, Regulatory Compliance, and Strategic Planning within the health care industry, with a strong ability to manage complex priorities and foster collaboration across departments. Proven skills in business analytics, problem-solving, and relationship management are essential for driving results in a fast-paced environment.

Highest-signal resume keywords

• Contract Management System
• Regulatory Compliance
• Strategic Planning
• Business Analytics
• Project Management

ATS Optimization Keywords

Hard Skills

• Contracting
• Negotiating
• Provider Services
• Health Plan Operations
• Health Plan Regulations
• Accreditation Standards
• Program Management
• Information Synthesis
• Market Research
• Financial Management

Soft Skills

• Interpersonal Skills
• Presentation Skills
• Written Communication
• Verbal Communication
• Relationship Management

Industry Keywords

• Health Care
• Health Insurance
• Strategic Consulting
• Compliance
• Regulatory Ops
• Audit
• Matrix Management
• Change Management

Tools & Technologies

• Contract Manager