Senior Advisor (Managed Care)

About the role

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.

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

• Possess the ability to 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

• Maintain awareness of 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

• Provide indirect leadership to managed care associates, claims, account management, and sales

• Collaborate closely with CogencyIQ team and business operations to assure client development needs are prioritized and made available to the broader organization

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 preferred
• 15+ 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