Medicare Advantage Manager
ZS Associates · Princeton, United States +1 · 8mo ago
ZS is a place where passion changes lives. As a management consulting and technology firm focused on improving life and how we live it, we transform ideas into impact by bringing together data, science, technology and human ingenuity to deliver better outcomes for all. Here you’ll work side-by-side with a powerful collective of thinkers and experts shaping life-changing solutions for patients, caregivers and consumers, worldwide. ZSers drive impact by bringing a client-first mentality to each and every engagement. We partner collaboratively with our clients to develop custom solutions and technology products that create value and deliver company results across critical areas of their business. Bring your curiosity for learning, bold ideas, courage and passion to drive life-changing impact to ZS.
ZS's Insights & Analytics group partners with clients to design and deliver solutions to help them tackle a broad range of business challenges. Our teams work on multiple projects simultaneously, leveraging advanced data analytics and problem-solving techniques. Our recommendations and solutions are based on rigorous research and analysis underpinned by deep expertise and thought leadership.
Health Plan Manager for Medicare Advantage Center of Excellence
What You’ll Do
- 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.
- Lead client relationships and business development efforts, including opportunity identification, solution shaping, and proposal support.
- 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
What You’ll Bring
- 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
- Executive-level presence and communication
How you’ll grow:
- Cross-functional skills development & custom learning pathways
- Milestone training programs aligned to career progression opportunities
- Internal mobility paths that empower growth via s-curves, individual contribution and role expansions
Perks & 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. For details on total rewards in United States, visit ZS US office locations | Where we work | ZS.
Hybrid working model:
We are committed to giving our employees a flexible and connected way of working. A flexible and connected ZS allows us to combine work from home and on-site presence at clients/ZS offices for the majority of our week. The magic of ZS culture and innovation thrives in both planned and spontaneous face-to-face connections.
Travel:
Travel is a requirement at ZS for client facing ZSers; business needs of your project and client are the priority. While some projects may be local, all client-facing ZSers should be prepared to travel as needed. Travel provides opportunities to strengthen client relationships, gain diverse experiences, and enhance professional growth by working in different environments and cultures.
Considering applying?
At ZS, we honor the visible and invisible elements of our identities, personal experiences, and belief systems—the ones that comprise us as individuals, shape who we are, and make us unique. We believe your personal interests, identities, and desire to learn are integral to your success here. We are committed to building a team that reflects a broad variety of backgrounds, perspectives, and experiences. Learn more about our inclusion and belonging efforts and the networks ZS supports to assist our ZSers in cultivating community spaces and obtaining the resources they need to thrive.
If you’re eager to grow, contribute, and bring your unique self to our work, we encourage you to apply.
ZS is an equal opportunity employer and is committed to providing equal employment and advancement opportunities without regard to any class protected by applicable law.
Work Authorization:
This position is not eligible for visa sponsorship. Candidates must have authorization to work in the United States that does not now or in the future require employer sponsorship.
To complete your application:
An on-line application, including a full set of transcripts (official or unofficial), is required to be considered.
NO AGENCY CALLS, PLEASE.
Find Out More At:
www.zs.com
ZS's Insights & Analytics group partners with clients to design and deliver solutions to help them tackle a broad range of business challenges. Our teams work on multiple projects simultaneously, leveraging advanced data analytics and problem-solving techniques. Our recommendations and solutions are based on rigorous research and analysis underpinned by deep expertise and thought leadership.
Health Plan Manager for Medicare Advantage Center of Excellence
What You’ll Do
- 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.
- Lead client relationships and business development efforts, including opportunity identification, solution shaping, and proposal support.
- 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
What You’ll Bring
- 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
- Executive-level presence and communication
How you’ll grow:
- Cross-functional skills development & custom learning pathways
- Milestone training programs aligned to career progression opportunities
- Internal mobility paths that empower growth via s-curves, individual contribution and role expansions
Perks & 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. For details on total rewards in United States, visit ZS US office locations | Where we work | ZS.
Hybrid working model:
We are committed to giving our employees a flexible and connected way of working. A flexible and connected ZS allows us to combine work from home and on-site presence at clients/ZS offices for the majority of our week. The magic of ZS culture and innovation thrives in both planned and spontaneous face-to-face connections.
Travel:
Travel is a requirement at ZS for client facing ZSers; business needs of your project and client are the priority. While some projects may be local, all client-facing ZSers should be prepared to travel as needed. Travel provides opportunities to strengthen client relationships, gain diverse experiences, and enhance professional growth by working in different environments and cultures.
Considering applying?
At ZS, we honor the visible and invisible elements of our identities, personal experiences, and belief systems—the ones that comprise us as individuals, shape who we are, and make us unique. We believe your personal interests, identities, and desire to learn are integral to your success here. We are committed to building a team that reflects a broad variety of backgrounds, perspectives, and experiences. Learn more about our inclusion and belonging efforts and the networks ZS supports to assist our ZSers in cultivating community spaces and obtaining the resources they need to thrive.
If you’re eager to grow, contribute, and bring your unique self to our work, we encourage you to apply.
ZS is an equal opportunity employer and is committed to providing equal employment and advancement opportunities without regard to any class protected by applicable law.
Work Authorization:
This position is not eligible for visa sponsorship. Candidates must have authorization to work in the United States that does not now or in the future require employer sponsorship.
To complete your application:
An on-line application, including a full set of transcripts (official or unofficial), is required to be considered.
NO AGENCY CALLS, PLEASE.
Find Out More At:
www.zs.com