Strategic Advisor, Government Programs - Remote
Pager is a tech-enabled, care navigation solution that delivers a “doctor in your family” healthcare experience by making it simple for consumers to connect with the trusted experts they need to make the right healthcare decisions. Through our AI-enabled digital platform and URAC accredited clinical services, Pager brings consumers, nurses, doctors and other members of the care team together through text, voice and video chat, all in one place. We partner with healthcare organizations to deliver seamless, tech-enabled services and solutions for a consumer experience that leads to better decisions, outcomes and healthier lives. Founded in 2014 and based in New York City, Pager is led by seasoned technology and healthcare leaders to redefine the way that consumers interact with their healthcare.
The Strategic Advisor, Government Programs is responsible for developing and managing multiple programs and business development opportunities within the Government (MA, Part-D, Dual Eligibles, SNP, Medicaid, etc.) segments of Pager’s Health Plan clients. This role will be responsible for identifying and leading new business strategies and initiatives to meet the needs of our clients and their members. These strategies will impact Government Programs product planning and development, new business ventures, and market expansion. This is also a client-facing role that will partner with clients at various levels, including C-suite executives.
- 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
- 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
Offers are contingent upon the successful completion of a background check. This may include but is not limited to substance testing, education, employment, references, state and federal licensure and certifications, criminal history, Office of the Inspector General (OIG) and General Services Administration (GSA) exclusions checks.
For Colorado, Nevada, and New York-based employment: In accordance with the Pay Transparency laws the pay range for this position is $135,000 to $185,000 plus bonus eligibility. The compensation package may include stock options, plus a range of medical, dental, vision, financial, generous PTO, stipends for professional development, and wellness benefits. Final compensation for this role will be determined by various factors such as a candidate's relevant work experience, skills, certifications, and geographic location. The range listed only applies to Colorado, Nevada, and New York.
At Pager, we value diversity and always treat all employees and job applicants based on merit, qualifications, competence, and talent. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.