Senior Manager, Consulting - Membership Administration & Benefits Administration

Senior Manager, Consulting - Membership Administration & Benefits Administration

This position will lead Products, Programs, and Projects in the Membership and Benefits department of the National Health Plan. The Senior Manager will also manage a team of direct and indirect reports, work in partnership with Operations and other business and IT teams and vendors to lead initiatives aimed at delivering strategic goals. The Senior Manager will interact with Health Plan executives in defining objectives, establishing roadmaps, developing business cases, managing scope, resources, and timelines, issues, and risks.

The position is part of a leadership team that also focuses on team culture, learning and development, and mentoring.

Manages a team of consultants to ensure the alignment, buy-in, and coordination of diverse stakeholders to drive the implementation of successful business initiatives and projects. Empowers the development and implementation of business initiatives, systems, and/or processes to a desired future state. Manages the development of multiple business strategies and ensures alignment and prioritization of organizational objectives and business initiatives. Manages complex projects or project components for units, manages complex change management plans, and manages team members in performing complex data analyses to drive business initiatives.

Directs vendor management as required. Monitors and takes accountability for the compliance of team work activities by ensuring business plans and team members adhere to relevant policies and procedures.

Minimum five (5) years experience in a leadership role with or without direct reports. Bachelors degree from an accredited college or university and Minimum eight (8) years experience in consulting, project management, data analytics, operations or a directly related field OR Masters degree in Business, Public Health, or a directly related field and Minimum six (6) years experience in consulting, project management, data analytics, operations or a directly related field OR Minimum eleven (11) years experience in consulting, project management, data analytics, operations or a directly related field.

Knowledge, Skills, and Abilities (KSAs):
Business Acumen;
Change Management;
Negotiation;
Creativity;
Applied Data Analysis;
Financial Acumen;
Conflict Resolution;
Managing Diverse Relationships;
Process Validation;
Project Management;
Risk Assessment;
Service Focus;
Requirements Elicitation & Analysis

Four (4) years of experience consulting in a large multi-hospital system. Four (4) years of experience working with outpatient/ambulatory service line optimization.