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Senior Consultant, Part C and Medical Leader (Remote)

Job Summary:

The Senior Consultant Part C and Medical Leader manages Part C consultant direct reports provides leadership and direction to the BluePeak Part C and Medical Consulting team.  This position trains and provides ongoing employee development to team members, adheres to quality and service standards and helps develop and implement business strategies.

Essential Duties:

  • Deep subject matter expertise in all functions of Medicare Part C operations and compliance with the ability to deal with ambiguity, make judgment calls and leverage experience to inform decisions..
  • Approves employee request for time off in support of employee and business needs.
  • Coordinates with scheduling to ensure appropriate staffing availability and capacity.
  • Provides training and ongoing employee development through regular meetings and formal trainings.
  • Reviews audit reports and other client deliverables for accuracy and provides feedback and coaching as appropriate.
  • Perform other duties, as necessary, to meet corporate objectives.
  • Performs audits and other consulting engagements.
  • Collaborates cross-functionally with other Leaders.
  • Travel as required

Qualifications:

  • Bachelor’s degree and a minimum of ten (10) years government, health care, pharmacy benefit management, compliance or quality profession (equivalent combination of education and experience considered.)
  • Must have strong Microsoft Office Suite skills. Advanced skills in Word, Excel, Access and PowerPoint required
  • Experience with Medicare and/or Medicaid standards required
  • Advanced degree or certification in audit, pharmacy or compliance discipline preferred
  • Must have strong verbal and written communication skills.
  • Individual should be detail oriented with strong organization, prioritization and analytical skills with the ability to work independently.
  • Must work well under tight timelines and adapt quickly to change in a fast-paced, team-oriented, and high-growth environment.
  • Consulting experience required.
  • Prior management experience preferred.

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Senior Consultant Part C and Medical Leader

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