Sr. Strategic Healthcare Advisor

Founded in 1999 and headquartered in Central Ohio, we’re a privately‑owned, independent healthcare navigation organization. We believe that no one should have to navigate the cost and complexity of healthcare alone, and we’re on a mission to make healthcare simpler and more effective for our millions of members. Our big‑hearted, tech‑savvy team fights to ensure that our members get the care they need, when they need it, at the most affordable cost – that’s why we call ourselves Healthcare Warriors®.

About

The Role

We are seeking a highly experienced Senior Strategic Healthcare Advisor/Consultant with deep expertise in health plan administration, advanced healthcare data analysis, and the specific challenges faced by self‑funded employer groups. This seasoned professional will play a key role in analyzing complex healthcare data to provide forward‑looking insights and strategic recommendations that help clients optimize member health outcomes and health plan strategy.

The ideal candidate is a talented orator, curious, forward‑thinking, and adept at leveraging advanced technologies including Generative AI (GenAI), to derive meaningful insights and guide decision‑making.

Data Analysis & Insight Generation

Analyze and identify trends, risks and future opportunities across a broad healthcare data set.

Utilize advanced analytical techniques and tools, including Generative AI (GenAI), to uncover underlying drivers in plan and member experience, clinical outcomes, population health, and cost dynamics.

Employ pattern recognition to determine which populations are driving costs, understand behavioral/utilization differences, and identify concentrations in specific divisions or locations.

Validate data findings by probing deeper into anomalies and ensuring data integrity to produce meaningful insights.

Strategic Advisory & Future Planning

Act as a trusted advisor to clients, providing forward‑looking insights into data trends and their implications for future outcomes.

Identify opportunities to improve member health outcomes and cost management through changes in benefits design, workplace conditions, partner solutions, or technology enhancements.

Guide clients and their consultant partners in understanding the potential impact of industry shifts, emerging trends, and "what's happening" in the benefits world on their health plans and member populations.

Client Engagement & Presentation

Craft and deliver compelling presentations that highlight insights and recommendations, emphasizing actionable strategies and measurable results.

Engage directly with clients and consultants, collaborating with Client Engagement (CE) teams to share insights and provide consultative assistance.

Build and maintain strong client relationships, serving as an adjunct analytical support and peer advisor, including for clients with their own analysts on staff.

Healthcare Industry Expertise

Leverage deep understanding of health plan administration, the medical and pharmacy payer landscape, and challenges unique to self‑funded employer groups.

Stay abreast of developments in the healthcare and benefits industries that can impact client results, including regulatory changes and emerging best practices.

Internal Collaboration & Solution Delivery

Collaborate with internal teams (Value Creation, CE, Pods, Product Development, Technology, Actuarial Teams, Data Specialists) to develop and implement tailored solutions addressing identified opportunities.

Work with data teams to access and analyze data, and with project management and implementation teams to support action plans.

Innovation & Technology Utilization

Embrace and leverage advanced technologies, including Generative AI, to enhance data analysis and insight generation.

Engineer effective…