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Senior Advisor (Managed Care)

Key Facts

Remote From: 
Full time
Senior (5-10 years)
English

Other Skills

  • โ€ข
    Problem Solving
  • โ€ข
    Microsoft Excel
  • โ€ข
    Innovation
  • โ€ข
    Communication
  • โ€ข
    Leadership

Roles & Responsibilities

  • Bachelor's degree required; advanced degree preferred
  • 15+ years of risk/TPA experience required
  • 10+ years of experience in managed care, workers' compensation, healthcare consulting/advisory services, or related fields
  • Professional designations such as CPCU, ARM, AIC, CCM, or similar certifications are a plus

Requirements:

  • Conduct executive-level assessments of managed care and workers' compensation programs to identify performance gaps, cost drivers, and opportunities for improvement
  • Analyze complex data sets, industry benchmarks, and market trends to develop actionable recommendations and strategic roadmaps for clients
  • Translate analytical findings into executive-ready presentations, reports, and recommendations that influence business decisions
  • Engage with clients and prospects as a trusted advisor, presenting findings and facilitating strategic discussions with executive stakeholders

Job description

We have an exciting opportunity for a Senior Advisor within our Executive Advisory Services team focused on the Managed Care space. This highly visible role operates at the intersection of data, strategy, and executive advisory, helping clients identify opportunities to improve program performance, reduce total cost of risk, and enhance outcomes through data-driven decision making.

The Senior Advisor serves as a trusted advisor to clients and internal stakeholders, leveraging analytics, industry benchmarking, market intelligence, and emerging technologies to develop executive-level assessments, identify performance gaps, and deliver executive-ready actionable recommendations. This role requires an individual who is comfortable analyzing complex and large amounts of data, succinctly presenting findings to executive audiences, and identifying innovative solutions that address evolving client needs.

As a key member of the Executive Advisory Services team, this position partners closely with Product Leadership, Business Operations, and Data teams to deliver strategic insights, support client engagements, develop thought leadership content, and help shape future advisory offerings and data-driven solutions.

 

ESSENTIAL FUNCTIONS & RESPONSIBILITIES:

  • Conduct executive-level assessments of managed care and workers' compensation programs to identify performance gaps, cost drivers, and opportunities for improvement
  • Analyze complex data sets, industry benchmarks, and market trends to develop actionable recommendations and strategic roadmaps for clients
  • Translate analytical findings into executive-ready presentations, reports, and recommendations that influence business decisions
  • Partner with data analysts, product teams, and operational leaders to uncover insights, evaluate opportunities, and support the development of innovative solutions, tools, and data products
  • Engage with clients and prospects as a trusted advisor, presenting findings and facilitating strategic discussions with executive stakeholders
  • Develop and publish benchmarking studies, white papers, client bulletins, and thought leadership content
  • Monitor industry, regulatory, legislative, and technology trends to identify emerging opportunities and risks for clients and the organization
  • Support strategic client meetings, RFP responses, prospect evaluations, and executive presentations
  • Collaborate with internal stakeholders to advance the growth and evolution of Executive Advisory Services
  • Provides indirect leadership to managed care associates, claims, account management, and sales
  • Collaborates closely with CogencyIQ team and business operations to assure client development needs are prioritized and made available to the broader organization
  • Additional duties as assigned

 

KNOWLEDGE & SKILLS:

  • Demonstrated expertise in managed care services such as Network Utilization, Case Management, Bill Review and Pharmacy Benefit Management
  • Strong analytical and problem-solving skills with the ability to synthesize complex information into clear, compelling business insights
  • Passion for data, innovation, emerging technologies, and identifying new opportunities to improve client outcomes
  • Excellent written and verbal communication and presentation skills
  • Advanced understanding of Microsoft Office products, especially Excel
  • Leadership presence

 

EDUCATION & EXPERIENCE:

  • Bachelor's degree required; advanced degree preferred15+ years of risk/TPA experience is required  
  • 5-15+ years in an operational or account management leadership position required
  • 10+ years of experience in managed care, workers' compensation, healthcare consulting/advisory services, or related fields
  • Demonstrated experience presenting findings and recommendations to executive audiences
  • Experience working with analytics teams, business intelligence tools, dashboards, and data visualization platforms preferred
  • Professional designations such as CPCU, ARM, AIC, CCM, or similar certifications are a plus
  • Experience in workers' compensation required; exposure to disability management, auto, or general liability, as well as commercial property and international claims adjudication is a plus

 

PAY RANGE:

CorVel uses a market based approach to pay and our salary ranges may vary depending on your location.  Pay rates are established taking into account the following factors:  federal, state, and local minimum wage requirements, the geographic location differential, job-related skills, experience, qualifications, internal employee equity, and market conditions.  Our ranges may be modified at any time.

For leveled roles (I, II, III, Senior, Lead, etc.) new hires may be slotted into a different level, either up or down, based on assessment during interview process taking into consideration experience, qualifications, and overall fit for the role.  The level may impact the salary range and these adjustments would be clarified during the offer process.

Pay Range:  $99,250 โ€“ $166,777

A list of our benefit offerings can be found on our CorVel website: CorVel Careers | Opportunities in Risk Management

In general, our opportunities will be posted for up to 1 year from date of posting, or until we have selected candidate(s) to fulfill the opening, whichever comes first.

 

About CorVel:

CorVel, a certified Great Place to Workยฎ Company, is a national provider of industry-leading risk management solutions for the workersโ€™ compensation, auto, health and disability management industries.   CorVel was founded in 1987 and has been publicly traded on the NASDAQ stock exchange since 1991. Our continual investment in human capital and technology enable us to deliver the most innovative and integrated solutions to our clients.  We are a stable and growing company with a strong, supportive culture and plenty of career advancement opportunities.  Over 4,000 people working across the United States embrace our core values of Accountability, Commitment, Excellence, Integrity and Teamwork (ACE-IT!). 

A comprehensive benefits package is available for full-time regular employees and includes Medical (HDHP) w/Pharmacy, Dental, Vision, Long Term Disability, Health Savings Account, Flexible Spending Account Options, Life Insurance, Accident Insurance, Critical Illness Insurance, Pre-paid Legal Insurance, Parking and Transit FSA accounts, 401K, ROTH 401K, and paid time off.

CorVel is an Equal Opportunity Employer, drug free workplace, and complies with ADA regulations as applicable.

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