Full-Time
Strategic Advisor
Posted on 10/10/2023
Unified platform for personalized virtual healthcare services
Compensation Overview
$135,000 - $185,000
Senior
Remote in USA
- Bachelor's degree in business management, clinical, economics, health policy, informatics, public policy or related field or equivalent experience; Advanced and/or Clinical degree highly preferred
- 8+ years of experience in a health care / managed care organization with demonstrated track record of increasing responsibility and accountability
- Expertise with health care payers/networks, CMS STAR ratings, HEDIS measures, Part D, clinical quality and reporting, care management, and utilization management
- Expertise in payment models, encompassing Medicare, Part-D, Dual Eligibles, SNP, Medicaid, and a deep understanding of value-based care principles to inform aligned product development
- Experience in Medicare and Medicaid contracting including demonstration of contracting with health plan C-suite executives and/or government leaders
- Experience with Medicare and/or State Medicaid filing of bids and creation of benefit packages that will lead to double digit growth and high member NPS scores
- Defines and owns execution of Pager's STARs strategy inclusive of HEDIS, Part D and CAHPS
- Collaborates with Product, Sales, Marketing and Operations to develop and launch new STARs/CAHPS improvement Solutions and Programs on the Pager platform with our clients
- Drive the continuous development and maintenance of a robust product pipeline for Government Programs, aligning with client needs and market expansion goals
- Supports the design, development and negotiation of performance based and value-based contracts for Pager in the Medicare Advantage segment
- Establishes strong, collaborative relationships with clients in support of all Quality (HEDIS), member satisfaction and affordability / cost management goals
- Thought leader to external channels in the government programs arena - attending conferences, client meetings and other industry forums as a subject matter expert. Lead the development of white papers to align the needs of payers managing government programs
- Partners with other internal and external stakeholders as needed to drive the effectiveness of Pager's Government programs
Pager is a leading company in the virtual healthcare space, offering a comprehensive platform that integrates clinical and service teams for a seamless, personalized patient experience. Their competitive advantage lies in their ability to provide a wide range of virtual care services, from triage and telemedicine to appointment scheduling and care advocacy, supporting over 15 million people in the US and Latin America. The company's commitment to making healthcare more accessible and user-friendly is evident in their partnership with Horizon, where they have successfully implemented digital strategies to enhance member engagement and care delivery.
Company Stage
Series C
Total Funding
$180.1M
Headquarters
New York, New York
Founded
2014