Value Based Payment Business Consultant I/II/III/IV at Excellus Health Plan Inc. in Rochester, New York

Job Description:

Job Description:

Summary:

A Business Consultant serves as a liaison between the Health Plan and both internal and external client base to develop and analyze reports and make recommendations based on the customer needs. This role will create a multidisciplinary team approach by acting as a liaison between Business Consulting and other key internal business areas (Sales, Pharmacy, Workplace Wellness, etc.); with this partnership resulting in a centralized reporting team which recommends actionable items leading to potential cost savings or quality improvements for the Health Plan.

Essential Accountabilities:

Level I

• Examines corporate wide trends and prepare and presents information to enable both senior management and our internal/external customers to better understand, evaluate, and identify potential actions and probable impact.

• Provides internal and external customers with guidance and direction to support the success of client base and company partnerships and expectations.

• Serves as a primary contact for consulting needs.

• Serves as a liaison between other internal business areas.

• Creates unified strategies with internal departments that target reducing costs of healthcare.

• Organizes management teams to focus on initiatives that reduce cost of healthcare.

• Continuous learning and education required surrounding organizational initiatives with ability to inform internal and external customers.

• Creates reports and processes to analyze, track and create awareness around costs of healthcare.

• Consistently demonstrates high standards of integrity by supporting the Lifetime Healthcare Companies' mission and values, adhering to the Corporate Code of Conduct, and leading to the Lifetime Way values and beliefs.

• Maintains high regard for member privacy in accordance with the corporate privacy policies and procedures.

• Regular and reliable attendance is expected and required.

• Performs other functions as assigned by management.

Level II (in addition to Level I Accountabilities)

• Communicates and showcases the benefits of reporting systems and dashboards to executives and users.

• Correlates client and/or customer needs with available solutions.

• Develops marketing and communication programs.

• Aids in development of future analytical solutions.

Level III (in addition to Level II Accountabilities)

• Develops and analyzes process flow documents and reports based on department procedures.

• Assists in the onboarding, training and mentoring of new Business Consultants. Regularly reviews industry trends for information.

• Proactively leads clients to new insight into multiple opportunities.

• Acts as a mentor to Level I & II teammates and constantly seek opportunities to improve team functioning.

Level IV (in addition to Level III Accountabilities)

• Proactively and independently assesses, identifies and implements team/process improvements.

• Interacts with Health Plan leadership to interpret data output and make business inferences that address strategic needs.

• Devises methods and procedures to meet unusual conditions and makes original contributions to the solution of very difficult problems.

• Contributes significantly to team meetings, adding agenda items and suggesting/coordinating attendance of impactful guests.

• Takes initiative to mentor and share knowledge and insights with team members to facilitate team learning and growth.

• Takes a leading role in small team projects and goals, facilitating meetings, contributing ideas, and owning execution.

Minimum Qualifications:

NOTE: We include multiple levels of classification differentiated by demonstrated knowledge, skills, and the ability to manage increasingly independent and/or complex assignments, broader responsibility, additional decision making, and in some cases, becoming a resource to others. In addition to using this differentiated approach to place new hires, it also provides guideposts for employee development and promotional opportunities.

All Levels

• Three (3) years' experience in health care information and analysis or related field.

• Bachelor's degree in a related field. In lieu of a degree, six (6) years of analytical experience required.

• Master's degree or advanced level certification preferred.

• Demonstrated analytical and strategic thinking ability; strong process and program management skills, creativity and initiative in problem solving and solution identification.

• Demonstrates strong leadership skills.

• Knowledge of Sales and Marketing operations preferred.

• Excellent interpersonal skills including both written and oral communication with the ability to present information in a clear and concise manner.

• Must be able to work independently while in a team environment.

• Ability to collaborate with internal and external customers across all levels within the organization.

• Ability to prioritize and meet the competing needs of all stakeholders.

• Understands internal and external customer organizational needs.

• Basic analytical tool skillset preferred (i.e., Microsoft Office Excel & PowerPoint, Power BI, SAS, Cognos Analytics)

Level II (in addition to Level I Qualifications)

• Five (5) years' experience in health care information and analysis or related field.

• Knowledge of healthcare trends, design of data warehouses, financial arrangements, benefit design and their impact on utilization.

• Identify adverse trends and unusual practice patterns within reports.

• Basic analytical tool skillset required (i.e., Microsoft Office Excel & PowerPoint, Power BI, SAS, Cognos Analytics).

Level III (in addition to Level II Qualifications)

• Seven (7) years' experience in health care information and analysis or related field.

• Ability to lead a multidisciplinary account consulting team.

• Ability to lead knowledge and informed discussion around healthcare and other global compensation offerings.

• Advanced analytical tool skillset preferred (i.e., Microsoft Office Excel & PowerPoint, Power BI, SAS, Cognos Analytics)

Level IV (in addition to Level III Qualifications)

• Ten (10) years' experience in health care information and analysis or related field.

• Demonstrated competencies of business acumen, strategic thinking, diplomacy, negotiation, influence, coaching, and problem-solving skills within and across multiple levels of staff and leadership.

• Proficient in leading internal & external customers through complex strategic and analytical problems to negotiate and drive/achieve impactful outcomes.

• Demonstrates keen judgment on involved and complex customer requests.

• Ability to establish effective relationships with all levels of representation throughout the divisions including senior management to execute cross-divisional initiatives.

• Advanced analytical tool skillset required (i.e., Microsoft Office Excel & PowerPoint, Power BI, SAS, Cognos Analytics).

Physical Requirements:

• Ability to work prolonged periods sitting and/or standing at a workstation and working on a computer.

• Ability to travel across the Health Plan service region for meetings and/or trainings as needed.

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One Mission. One Vision. One I.D.E.A. One you.

Together we can create a better I.D.E.A. for our communities.

At the Lifetime Healthcare Companies, we're on a mission to make our communities healthier, and we can't do it without you. We know diversity helps fuel our mission and that's why we approach our work from an I.D.E.A. mindset (Inclusion, Diversity, Equity, and Access). By activating our employees' experiences, skills, and perspectives, we take action toward greater health equity.

We aspire to reflect the communities we live in and serve, and strongly encourage people of color, LGBTQ+ people, people with disabilities, veterans, and other underrepresented groups to apply.

OUR COMPANY CULTURE:

Employees are united by our Lifetime Way Values & Behaviors that include compassion, pride, excellence, innovation and having fun! We aim to be an employer of choice by valuing workforce diversity, innovative thinking, employee development, and by offering competitive compensation and benefits.

In support of the Americans with Disabilities Act, this job description lists only those responsibilities and qualifications deemed essential to the position.

Equal Opportunity Employer

Compensation Range(s):

Level I: Grade 207: Minimum $60,070- Maximum $111,114

Level II: Grade 208: Minimum $67,538 - Maximum $124,925

Level III: Grade 209: Minimum $75,816 - Maximum $140,254

Level IV: Grade 210: Minimum $85,446 - Maximum $158,080

The salary range indicated in this posting represents the minimum and maximum of the salary range for this position. Actual salary will vary depending on factors including, but not limited to, budget available, prior experience, knowledge, skill and education as they relate to the position's minimum qualifications, in addition to internal equity. The posted salary range reflects just one component of our total rewards package. Other components of the total rewards package may include participation in group health and/or dental insurance, retirement plan, wellness program, paid time away from work, and paid holidays.

Please note: There may be opportunity for remote work within all jobs posted by the Excellus Talent Acquisition team. This decision is made on a case-by-case basis.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.