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JOB TITLE: Senior Consultant, Government Programs
DEPARTMENT: Consulting
REPORTS TO: Executive Vice President of Consulting and Professional
TYPE: Full Time, Exempt
LOCATION: Remote
ROLE SUMMARY:
The senior consultant is responsible for the execution and oversight of consulting projects and services. With demonstrated and proven success within government program operations, the senior consultant will provide HealthMine clients with a broad range of consulting services related, but not limited, to:
- Evaluation of operations, program, and data mapping/integration.
- Evaluation, oversight, and design of operations, oversight, education, and analytics.
- Identification of gaps and proposal of improvements across all departments.
- Comprehensive recommendations that align health plan operations and processes with governmental requirements and policies
- Application of federal and regulatory policies and procedures
WHAT YOU WILL DO:
- Plan and execute client projects, including projects not directly managed.
- Lead development of practical solutions that enhance existing internal and/or client capabilities, ensuring all project recommendations and deliverables are consistent and support improved performance.
- Develop and/ or perform scopes of work which meet the industry’s current needs.
- Provide day-to-day oversight of assigned project staff and consultants.
- Ensure quality of deliverables to ensure exceptional performance that meets clients’ needs.
- Use subject matter expertise to ensure client satisfaction and quality deliverables.
- Provide industry guidance to internal staff and clients.
- Demonstrate ability to produce high-quality results in personal work product by continuously upgrading personal skills and expertise.
- Help promote an effective and positive work environment by establishing and maintaining cooperative working relationships with HM staff and management.
- Conduct analyses of pending, active, or completed projects for senior management.
- Contribute to achievement of HM goals and objectives by performing other duties as requested.
WHAT YOU NEED:
- BS degree in Business, Nursing, Public Health, or relevant field
- At least 3 years of experience in Medicare Advantage, Managed Medicaid or ACA Marketplace operations
- Strong working knowledge of technical and business implications of governmental regulations and policies
- Strong change management and professional judgment skills
- Project management and/or consulting experience a plus
- Highly organized with a strong attention to detail
- Demonstrated leadership and management skills
- Ability to travel 25-40% of the time
WHAT WE PROVIDE:
- Competitive base salaries, full benefits (medical, dental, vision), and company paid STD/LTD benefits.
- 401(k) with employer match and 100% vesting for all salary deferral, match, and rollover contributions.
- Healthmine offers stock options thatncluding vesting over a four-year period
- A hybrid work model and flexible work schedules
- Generous Universal Parental Leave
- 18 PTO days and 18 Paid Holidays
About Healthmine:
Healthmine is a technology-enabled member engagement and rewards company. We build personalized, ongoing engagement strategies for health plans that drive healthy action through incentives and rewards, enhance member experience, and improve outcomes. Our configurable solutions include:
- Member Engagement: Deliver omnichannel outreach to engage members in self-managing health risks and conditions.
- Member Experience: Keep a pulse on member satisfaction through digital surveys (e.g., Mock CAHPS, NPS©) and a continuous feedback loop with real-time results.
- Digital HRA: Maximize HRA compliance and uncover risk in your population through self-attestation via quick and efficient digital HRAs.
- Smart Rewards & Incentives: Motivate members with the right rewards, supported by end-to-end gift card and merchandise reward fulfillment.
- Medicare Insights: Take a data-driven approach to Star rating performance improvement using a comprehensive analytics tool with the ability to operationalize engagement activities immediately.
- Consulting & Professional Services: Leverage our team of industry experts to guide strategy and implement our technology tools to meet your unique needs.
Healthmine clients get immediate, actionable insights into the success of member engagement and satisfaction initiatives, as well as the priority areas, to improve quality measures and Star Ratings. Partner with us to implement a solution in as little as 90 days. Connect with Healthmine on LinkedIn and learn more at www.Healthmine.com.
Healthmine provides equal employment opportunity (EEO) to all persons regardless of age, color, national origin, citizenship status, physical or mental disability, race, religion, creed, gender, sex, pregnancy, sexual orientation, gender identity and/or expression, genetic information, marital status, status with regard to public assistance, veteran status, or any other characteristic protected by federal, state or local law. In addition, Healthmine will provide reasonable accommodations for qualified individuals with disabilities.
Job Type: Full-time
