Prin Div Strategy Consultant - Governance (Remote)
Core
Ensure field contractor compliance with contracting standards, regulatory requirements, and network policies while providing guidance on the Contract Management System.
Role type
Senior strategy consultant (governance & contracting)
Builds
Compliance frameworks, policy adherence, and governance processes for providers and suppliers
Domain
Health insurance / Healthcare contracting
Required skills
Strategic planning, business analytics, program management, problem-solving, matrix environment navigation, regulatory knowledge
Preferred skills
Compliance, regulatory operations, audit, contract negotiation, provider services, project management, health plan operations
Technologies
Contract Management System (Contract Manager)
Responsibilities
Monitor field contractor adherence to governing standards and reimbursement rules; Provide ongoing support on non-standard issues and policy interpretation; Collaborate with Legal and Compliance teams on policy language and reporting; Drive strategy formulation and cross-departmental alignment
Seniority
Senior, hands-on IC