Payer Strategic Consultant

๐Ÿ’ฐ $150k-$175k
๐Ÿ‡บ๐Ÿ‡ธ United States - Remote
๐Ÿข Business๐ŸŸก Principal

Job description

Founded in 1993, MedeAnalytics is an innovation-focused company. Over the past three decades, we have worked tirelessly to reimagine healthcare through the power of dataโ€”and helped thousands of organizations achieve their potential along the way. Leveraging state-of-the-art analytics and data activation, MedeAnalytics delivers actionable insights that support payers, providers, employers, and public entities as they navigate the complex healthcare landscape. Usingย artificial intelligence and machine learning alongside the most advanced data orchestration in the industry, we empower organizations to optimize their resource allocation, experience superior patient outcomes, and achieve population health management goals.

And thatโ€™s just the beginning.

With a deep understanding of the complex challenges facing the healthcare industry, MedeAnalytics offers a comprehensive suite of solutions to address key areas such as:

  • Population Health Management: Gain insights into patient populations, identify at-risk individuals, and implement targeted interventions to improve health outcomes.
  • Value-Based Care: Optimize care delivery, reduce costs, and enhance patient satisfaction by aligning with value-based care models.
  • Revenue Cycle Management: Streamline revenue cycle processes, improve reimbursement rates, and minimize denials.
  • And moreโ€ฆ

MedeAnalytics is committed to delivering cutting-edge technology and exceptional customer service. Our team is passionate about transforming healthcare and making a positive impact on the lives of patients.

About Our Opportunity:

MedeAnalytics is seeking an experiencedย Principal, Payer Strategic Consulting, to join our consulting team, reporting to the SVP & Managing Director of Strategic Consulting. This role is critical to expanding our consulting services working with commercial and Medicare payers nationwide while driving multi-million-dollar annual consulting revenue.

Our ideal candidate has extensive consulting experience with healthcare payers, a deep understanding of the healthcare landscape, and a proven ability to sell consultative services. They possess a strong network of C-suite and key decision-makers and have a track record of leveraging consulting services to drive expansion opportunities, manage cross-functional initiatives, and execute successful engagements. Additionally, they demonstrate established thought leadership through publications, speaking engagements, or industry contributions and have implemented proven strategies to improve MLR, manage risk, enhance RAF scores, elevate STARS ratings, and optimize overall plan performance.

Essential Duties and Responsibilities:

  • Contribute to and execute the consulting division’s strategic plans and ensure alignment with the company’s overall business strategy.
  • Lead consulting sales within all payers in the United States.
  • Manage an assigned multi-million-dollar annual sales and revenue retention quota, ensuring that revenue targets are met or exceeded while controlling costs and optimizing resource allocation.
  • Provide strong leadership across the consulting team, setting objectives and performance standards and encouraging continuous professional growth.
  • Lead consulting sales pursuits, writing, gathering and collaborating on market and sales materials.
  • Collaborate closely with Senior Leadership Team (SLT) and VP of product payer sales to develop scalable and sustainable consulting solutions that drive client value and incremental revenue.
  • Partner with the product and data science team(s) to incorporate feedback, evaluate, and advise on product enhancements across the MedeAnalytics portfolio, ensuring that consulting insights contribute to product development.
  • Build and maintain trust-based relationships with clients, stakeholders, and industry partners, leveraging consulting services to identify expansion opportunities, optimize cross-consulting potential, and drive successful engagements.
  • Drive and promote thought leadership at MedeAnalytics, fostering innovation and strategic insights that solidify the company’s standing as a leader in healthcare analytics.
  • Keep abreast of trends and changes in the healthcare consulting industry, adjusting strategies and operations to maintain a competitive edge.

Education, Experience, and Required Qualifications:

  • Masterโ€™s degree in business, healthcare administration, or a related field.
  • 8+ years of consulting experience in the healthcare payer landscape, preferably at the VP and/or C-suite level within a large payer organization or top-tier consulting firm.
  • Proven success managing a multi-million-dollar new business quota and client retention goals.
  • Deep knowledge of Medicare, Medicaid, and value-based care models, with a strong ability to sell consultative services.
  • Expertise in scaling consulting services within a SaaS-based healthcare model, driving revenue growth.
  • Track record of delivering >$4M in ARR, with 50%+ YoY growth in a SaaS and services-driven healthcare company.
  • Leadership experience in building, expanding, and mentoring consulting teams.
  • Strong sales acumen, leading the full sales cycle from prospecting to deal closure.
  • Ability to influence decision-making through persuasion, negotiation, and consensus-building.
  • Customer-focused mindset, with a passion for revenue growth and business success.
  • Deep understanding of value drivers in recurring revenue business models.
  • Inspiring leadership style with the ability to motivate and engage teams.
  • Executive presence with strong communication and presentation skills, translating complex concepts into actionable insights.

Additional Information:

MedeAnalytics believes in fair and equitable pay. A reasonable estimate of the base salary range for this role is $150,000 - $175,000 USD + uncapped commission opportunities ($125k at plan). Please note that actual compensations for all roles may vary within the range, or be above or below the range, based on factors including, but not limited to, education, training, relevant work experience, professional achievements/qualifications, skill level, business need, location and will be finalized at the time of offer.

Benefits Include:

  • Comprehensive Medical, Dental, and Vision Coverage โ€“ Effective the first of the month following your start date
  • Company-Paid Life & AD&D Insurance, plus Short-Term and Long-Term Disability (STD/LTD)
  • Company-Paid Employee Assistance Program (EAP) premium tier for your wellbeing
  • 401(k) Plan with company match
  • Paid Holidays and Paid Time Off (PTO) Accruals
  • Employee Referral Bonus Program
  • Professional Development Opportunities to support your growth
  • And More!

We are committed to equal employment opportunity regardless of race, color, ethnicity, ancestry, religion, national origin, gender, sex, gender identity or expression, sexual orientation, age, citizenship, marital or parental status, disability, veteran status, or other class protected by applicable law. We are proud to be an equal opportunity workplace.

** At this time, we are unable to provide or transfer sponsorship; candidates must be authorized to work in the country where this position is located and cannot require sponsorship now or in the future.

At MedeAnalytics we deeply value each and every one of our committed, inspired and passionate team members. If you’re looking to make an impact doing work that matters, you’re in the right place. Help us shape the future of healthcare by joiningย #TeamMede.

MedeAnalytics does not utilize any outside vendors/agencies.ย  Please no unsolicited phone calls or invites.

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