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CorVelPosted 1 month ago
EXPIRED

Senior Advisor (Managed Care)

$99,250–$166,777 year

RemoteUnited States

Full TimeSenior LevelLarge

Job Summary

Conduct executive-level assessments of managed care and workers' compensation programs to identify performance gaps, cost drivers, and opportunities for improvement. Analyze complex data sets, industry benchmarks, and market trends to develop actionable recommendations and strategic roadmaps for clients. Translate analytical findings into executive-ready presentations, reports, and recommendations that influence business decisions. Partner with data analysts, product teams, and operational leaders to uncover insights, evaluate opportunities, and support the development of innovative solutions, tools, and data products. Engage with clients and prospects as a trusted advisor, presenting findings and facilitating strategic discussions with executive stakeholders. Develop and publish benchmarking studies, white papers, client bulletins, and thought leadership content. Monitor industry, regulatory, legislative, and technology trends to identify emerging opportunities and risks for clients and the organization. Support strategic client meetings, RFP responses, prospect evaluations, and executive presentations. Collaborate with internal stakeholders to advance the growth and evolution of Executive Advisory Services. Provides indirect leadership to managed care associates, claims, account management, and sales. Collaborates closely with CogencyIQ team and business operations to assure client development needs are prioritized and made available to the broader organization.

Required Qualifications

  • Bachelor's degree
  • 15+ years of risk/TPA experience
  • 5-15+ years in an operational or account management leadership position
  • 10+ years of experience in managed care, workers' compensation, healthcare consulting/advisory services, or related fields
  • Demonstrated experience presenting findings and recommendations to executive audiences
  • Experience in workers' compensation
  • Advanced understanding of Microsoft Office products, especially Excel
  • Leadership presence
  • Demonstrated expertise in managed care services such as Network Utilization, Case Management, Bill Review and Pharmacy Benefit Management
  • Strong analytical and problem-solving skills with the ability to synthesize complex information into clear, compelling business insights
  • Excellent written and verbal communication and presentation skills

Desired Qualifications

  • Advanced degree
  • Experience working with analytics teams, business intelligence tools, dashboards, and data visualization platforms
  • Professional designations such as CPCU, ARM, AIC, CCM, or similar certifications
  • Exposure to disability management, auto, or general liability, as well as commercial property and international claims adjudication

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