Medicare Advantage Manager
About the role
ZS is a place where passion changes lives. We transform ideas into impact by combining data, science, technology, and human ingenuity to deliver better outcomes for all. We work with clients to design and deliver solutions that help them tackle a broad range of business challenges.
Responsibilities
- Demonstrate deep expertise in Medicare Advantage, with strong functional knowledge across key domains including Risk Adjustment, Quality (Stars), Provider Engagement, and Cost of Care management, as well as evolving payer-provider partnership models.
- Develop data-driven solutions, insights, and points of view that help Medicare Advantage organizations improve financial and clinical performance by optimizing reimbursement accuracy, enhancing quality outcomes, and reducing avoidable medical costs.
- Partner with health plan and provider stakeholders to design and support provider engagement strategies that drive adoption of risk adjustment and quality programs while aligning incentives across the care continuum.
- Manage end-to-end client delivery, proactively mitigating risks and ensuring executive stakeholders are informed of progress, outcomes, and value realization.
- Stay current on regulatory, policy, operational, digital, and industry trends impacting Medicare Advantage, including CMS guidance and market dynamics.
- Effectively lead, mentor, and motivate cross-functional teams with diverse skill sets, fostering collaboration, accountability, and high performance.
- Provide timely, constructive feedback and on-the-job coaching to support team development and career growth.
- Cultivate an innovative, inclusive, and team-oriented work environment that encourages continuous improvement and new ways of thinking.
- Demonstrate the ability to quickly assimilate new information and translate complex concepts into practical, actionable recommendations for clients.
Requirements
- Bachelor’s degree
- MBA or Advanced Degree is highly desirable
- 8+ years’ experience in health plan management consulting, with a focus on topics related to Medicare Advantage
- 3+ years’ experience in a senior role (manager, director) within a professional services firm
- Demonstrated experience with driving commercial relationships within existing clients and in developing new prospects at the VP level
- Strong credentials and demonstrated success in defining and delivering digital/tech solutions
- Ability to lead a virtual team of consulting professionals across multiple projects
- A high level of motivation and self-starting attitude
- Strong analytical and problem-solving skills
- Excellent oral and written communication skills
- A strong work ethic
- A willingness to travel to meet client needs
Qualifications
- Executive-level presence and communication
Skills
- Health plan management consulting
- Data analytics and problem-solving
- Client relationship management
- Collaborative team leadership
- Regulatory and policy understanding
- Technology and digital solutions
- Communication and presentation skills
Benefits
At ZS, your growth matters. We offer a comprehensive total rewards package that supports your health and well-being, financial future, time away, and professional development. With robust skills-building programs, multiple career progression paths, internal mobility, and a deeply collaborative culture, you’ll have the opportunity to do meaningful work, expand your capabilities, and thrive as part of a global community.
Pay
Details on pay are not specified in this posting.
Schedule
The hybrid working model at ZS allows for a combination of remote work and on-site presence at clients/ZS offices for the majority of the week. Business needs of your project and client are the priority, and all client-facing ZSers should be prepared to travel as needed.