Healthcare Partnerships – Consultant
Core
Drive provider management and steerage strategies for corporate health insurance solutions by analyzing claims data and designing new healthcare value propositions.
Role type
Senior IC healthcare partnerships consultant (corporate solutions)
Builds
Provider management strategies, healthcare claims dashboards, and new provider/TPA agreements
Domain
Health insurance / Corporate Solutions
Deliverable
product features
Required skills
Healthcare data analysis, SQL, provider/TPA relationship management, business case development, stakeholder alignment, due diligence, contract negotiation, vertical integration
Preferred skills
Python, R, visualization tools, transformation experience
Responsibilities
Develop provider and healthcare claims dashboards; Conduct provider and healthcare claims analytics; Drive development of new provider management and steerage strategies; Execute approved provider management and steerage strategies end to end; Support due diligence for new providers and TPAs; Support negotiations on pricing, service scope, and contractual terms; Develop business cases and obtain stakeholder approval; Collaborate on vertical integration with healthcare providers
