Strategy Advancement Advisor - Remote US

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 The Strategy Advancement Advisor plays a crucial leadership role that provides data-driven strategic guidance to deliver a consistent and best-in-class Provider Engagement function. The Strategy Advancement Advisor enhances operational stability and effectiveness for market-based processes that support Provider Engagement, Quality/Stars, Interoperability, and Medicare Risk Adjustment (MRA) business levers. This role calls for a dynamic leader capable of tackling various business challenges, building relationships in a highly collaborative environment, influencing through communication, and leveraging data to advise senior and executive leaders.

This role requires strong leadership, analytical skills, and the ability to collaborate effectively with various stakeholders to drive strategic advancements in the Provider Engagement operating model. The Advisor must exercise independent judgment and decision-making on complex issues regarding roles/responsibilities, KPIs, provider assignment rubrics, and other related tasks while working under minimal supervision.

Responsibilities 

Manage the operating model elements of the Provider Engagement domain

• Serve as the primary point of contact (POC) to discuss, troubleshoot, or develop new capabilities or responsibilities over time to align with evolving business priorities, processes, and provider landscapes

• Oversee the Network Performance provider assignment framework and develop market guidance for provider assignments beyond the current rubric (e.g., National Strategic Partners, Specialist providers, etc.)

• Continuously optimize the existing operating model by leveraging performance and productivity data and front-line associate feedback

• Optimize the operating model by identifying and scaling best practices while eliminating unnecessary requirements or processes

• Manage test and learn (T&L) programming that serves to pilot deviations to the standard operating model with an ultimate goal of scaling those initiatives that increase performance and/or efficiency. Management of the T&L program includes:

  • Facilitating ideation sessions …