Manager, Health Plan Consulting
$150k - $188kECG Management Consultants
Overview With over 50 years of proven success, ECG, ranked as a Best Midsized Firm to Work For 2025 by Consulting Magazine, is the most experienced healthcare consulting firm in the US. Working exclusively in this space, our people consistently demonstrate their ability to solve challenges for providers and achieve better patient outcomes. Across our eight office locations, we're seeking individuals who will show the courage to find innovative solutions and make a direct impact on the delivery of healthcare services nationwide. About ECG ECG is a national consulting firm that is redefining healthcare together with its clients. We provide a broad range of strategic, financial, operational, and technology-enabled consulting services to the full continuum of care, including hospitals, health systems, medical groups, academic medical centers, children's hospitals, cancer centers, ambulatory surgery centers, investors, and payers/health plans. Our work focuses on creating practical, tailored solutions that help clients maximize resources and achieve sustainable results. We value collaboration, integrity, and innovation, and are committed to fostering an inclusive and supportive work environment.
Job Details Join Our Payer Strategy Contracting Division Our PSC Division guides clients through payer strategy development, reimbursement analysis and design, contract negotiations, and other strategic and operational issues affecting commercial and government revenue streams. As part of our team, you'll help our clients optimize their managed care contract portfolios and develop successful value-based reimbursement strategies. PSC engagements include work with inpatient, outpatient, professional, behavioral health, post-acute, and ancillary providers, as well as payers. We assist clients primarily in the three areas below. Contracting and Reimbursement Our Contracting and Reimbursement practice is an industry leader in healthcare payment reform and accountable care strategies for large, complex healthcare organizations, including major health systems and provider-owned health plans. We help our clients:
Apply now and make an impact for years to come. To begin the recruitment process, please submit your resume via our career site at ECG provides equal employment opportunities to all employees and applicants for employment without regard to sex, race, color, religion, national origin, citizenship, ancestry, age, disability, pregnancy, medical condition (cancer and genetic characteristics), genetic information, gender, gender identity or expression, sexual orientation, marital status, military or veteran status, or any other legally protected characteristic. We participate in E-Verify as part of our onboarding process. Having the permanent legal right to work in the United States is a condition of employment. ECG is not currently able to provide assistance to candidates requiring sponsorship or a visa.
#LI-SC1 #LI-Hybrid
Job Details Join Our Payer Strategy Contracting Division Our PSC Division guides clients through payer strategy development, reimbursement analysis and design, contract negotiations, and other strategic and operational issues affecting commercial and government revenue streams. As part of our team, you'll help our clients optimize their managed care contract portfolios and develop successful value-based reimbursement strategies. PSC engagements include work with inpatient, outpatient, professional, behavioral health, post-acute, and ancillary providers, as well as payers. We assist clients primarily in the three areas below. Contracting and Reimbursement Our Contracting and Reimbursement practice is an industry leader in healthcare payment reform and accountable care strategies for large, complex healthcare organizations, including major health systems and provider-owned health plans. We help our clients:
- Develop innovative payment approaches.
- Negotiate contracts.
- Devise reimbursement strategies.
- Improve revenues.
- Value-based readiness assessments and payment design.
- Care model and reimbursement strategy.
- Medicare Shared Savings Program, Accountable Care Organization (ACO) REACH, or commercial ACO development.
- Clinically integrated or regional affiliate network development.
- Assistance with Medicaid managed care program participation.
- Patient-centered medical home transformation.
- Population health service organization establishment.
- Support for participation in grant-funded or governmental programs.
- Commercial insurance.
- Medicare Advantage.
- Medicaid managed care.
- Third-party administrator services.
- Provider network performance.
- Lead high-complexity work streams and ensure deliverables are accurate, insightful, and aligned with client goals.
- Apply project management principles to schedule, coordinate, and monitor work streams, including budgets, team performance, and project dependencies.
- Conduct quantitative and qualitative analyses and synthesize findings into actionable recommendations.
- Translate data into meaningful insights and clear visualizations that support client understanding.
- Identify and define complex problems; analyze underlying issues and develop feasible, reasoned solutions.
- Present components of deliverables to clients, respond to questions on assigned content, and coordinate follow-up communications.
- Adapt methodologies to fit specific client needs and identify risks requiring escalation.
- Provide timely, actionable feedback to team members; model professionalism, tact, empathy, and inclusivity.
- Manage effective working relationships, even in challenging situations, and contribute to a positive team culture.
- Help team members understand how their goals align with project and organizational objectives.
- Demonstrate situational awareness and adapt leadership style to optimize performance.
- Mentor junior consultants, share knowledge generously, and promote a culture of continuous learning.
- Begin taking responsibility for overall team contributions to project success.
- Articulate desired outcomes and guide team members in developing written and verbal communications.
- Support staff in tailoring communication to specific audiences for greater impact.
- Lead selected portions of presentations and facilitate discussions by drawing in new perspectives and clarifying key points.
- Ensure follow-up communications, clarifications, and client touch points are completed effectively.
- Formulate strategic objectives and priorities across multiple projects.
- Identify opportunities to advance organizational goals.
- Adapt standard methods to meet the needs of each project.
- Identify project risks and contingencies, escalating when needed.
- Develop new insights and solutions for common project challenges.
- Identify and research potential market opportunities.
- Engage in outreach and relationship-building activities as a representative of ECG.
- Participate in creating marketing materials, pitch decks, and proposals. Contribute to business-winning activities.
- Support operational improvements, practice development, and initiatives that strengthen the firm's competitive position.
- Master's degree in Business Administration required.
- 6+ years of experience in health plan consulting, payer strategy, or health plan finances and operations.
- Strong knowledge of the healthcare payer landscape, including Medicare Advantage, Medicaid managed care, and commercial insurance.
- Proven ability to lead complex projects and manage multiple stakeholders.
- Experience analyzing healthcare data, including claims, pricing, enrollment, cost, and utilization datasets.
- Strong analytical, problem-solving, and project management skills.
- Excellent written and verbal communication skills, with the ability to translate complex information into actionable recommendations.
- Proficiency in developing client-ready deliverables, including PowerPoint presentations, Excel models, reports, and memos.
- Comfortable working with senior executives and facilitating strategic discussions.
- Ability to work independently and collaboratively in a fast-paced, client-facing environment.
- Exceptional organizational skills, attention to detail, and ability to manage competing priorities.
- Demonstrated professionalism, sound judgment, and strong interpersonal skills.
- Commitment to mentoring junior team members and fostering a positive team culture.
- Ability to thrive in a hybrid work environment.
- Ability to travel as needed
- Atlanta, Boston, Chicago, Dallas, Minneapolis, San Diego, or Washington, DC
- Hybrid work schedule, with a minimum of two days per week in office when not traveling for a client engagement
- We will consider remote hires, but prefer an in-office presence through our hybrid model
Apply now and make an impact for years to come. To begin the recruitment process, please submit your resume via our career site at ECG provides equal employment opportunities to all employees and applicants for employment without regard to sex, race, color, religion, national origin, citizenship, ancestry, age, disability, pregnancy, medical condition (cancer and genetic characteristics), genetic information, gender, gender identity or expression, sexual orientation, marital status, military or veteran status, or any other legally protected characteristic. We participate in E-Verify as part of our onboarding process. Having the permanent legal right to work in the United States is a condition of employment. ECG is not currently able to provide assistance to candidates requiring sponsorship or a visa.
#LI-SC1 #LI-Hybrid
Vacancy posted 2 hours ago
Similar jobs that could be interesting for youBased on the Manager, Health Plan Consulting in Arlington, VA vacancy
- A leading consulting firm is seeking a Senior Director of Health and Benefits Consulting in Arlington, Virginia. In this... ...you will lead client engagements, manage health and benefits strategies, and... ...complex health and welfare plans, coupled with an ability to generate...Health Insurance
$110k - $140k
...Health & Benefits Director As a Health & Benefits Director, you... ...You will be responsible for managing a wide array of projects, leveraging... ...to make recommendations on plan design and management for the... ...welfare plans gained in a consulting or brokerage environment or...Health InsuranceTemporary workWork at officeLocal areaRemote workVisa sponsorshipWork visaFlexible hours$135k - $185k
Description As a Senior Director - Health and Benefits Consulting you will lead client engagements involving the design and management of the full array of health and benefits programs... ...in the design and delivery of project plans; ensuring progress against established objectives...Health InsuranceTemporary workWork at officeLocal areaVisa sponsorshipWork visaFlexible hours- ...Glassdoor's Best Places to Work. Explore what our employees have to say about our unique culture by clicking here. The Manager, Financial Planning & Analysis (FP&A) plays a critical role in supporting enterprise-level financial planning, forecasting, and corporate...Health InsuranceLocal areaFlexible hours
$110k - $140k
Manager, Retirement Plans & Benefits Alvarez & Marsal (A&M) is a global consulting firm with entrepreneurial, action and results-oriented professionals. We take a hands-on approach to solving our clients' problems and assisting them in reaching their potential. Our culture...Health InsurancePart timeWork at officeFlexible hours- ...strategy (examples include QMR, planning and execution of Therapeutic... ...insights for senior management. Influence the analysis, design... ...data sources for profiling and consulting. Travel up to 10% as required... ...on eligibility, comprising of health and welfare plans for staff and...Health InsuranceRemote workFlexible hours
$285k - $305k
...points and needs of Cohere's clients (i.e., health plans, health systems, & ACOs). You will also... ...company's clinical and digital care management offerings as the clinical subject... ...healthtech/solutions/services, expert consulting (partner-level), or related payer-facing...Health InsuranceRemote workFlexible hours- ...global professional services firm seeks a Director in Deal Management - Health to lead complex M&A projects in the healthcare sector. The... ...ideal candidate will have a strong background in management consulting and healthcare industry knowledge, delivering value by managing...
- Navitas Business Consulting Inc. seeks an experienced Program Manager to lead contract performance and program oversight supporting DHA's EEO CDS, E-File, and... ...customer engagement, delivery management, resource planning, and operational oversight for the implementation and...Contract work
$40 per hour
Overview This Communications Manager role is based at one of our corporate... ...’ll Do During a Typical Day Consult with subject matter experts to... ...concierge support. Mental health resources - free counseling... ...glasses, and more. Retirement plans for financial security. Benefits...Night shift$113k - $188k
## Strategic Planning ManagerApplylocations: US - DC, Washingtontime type: Full timeposted... ...requisition id: 41762**Job Family:**Management Consulting**Travel Required:**Up to 10%**... ...Plan* Basic Life & Supplemental Life* Health Savings Account, Dental/Vision & Dependent...Health InsuranceTemporary workFlexible hours- ...teams. We are seeking a Sr. Clinical Consultant and Mid-Level Clinical Consultant to join... ...product of great quality. Develops, plans, and manages site training programs to link the... ...Master Level in Safety, Occupational Health, Nursing, Engineering or related technical...Health InsuranceWork experience placementFlexible hours
$113k - $188k
...What You Will Do The Strategic Planning Manager will serve as an advisor and technical expert... ...strategy initiatives. Job Family Management Consulting Travel Required Up to 10% Clearance... ...Retirement Plan Basic Life & Supplemental Life Health Savings Account, Dental/Vision &...Health InsuranceTemporary workFlexible hours- ...seeking an experienced Program Manager to lead a team providing... ...PWS task areas Lead transition planning, quality assurance, risk management... ...supporting: Business consulting Process improvement Strategic... ...competitive salary, a comprehensive health plan including dental and...Health InsuranceContract workFor subcontractor
- ...technologies, we deliver business consulting and technology solutions that... .... i360 is seeking a Program Manager (PM) to lead a mission‑... ...backlog, release backlog, sprint planning, daily standups, sprint... ...Insurance (Basic, Voluntary & AD&D) Health Care Plan (Medical, Dental &...Health InsurancePermanent employmentContract workTemporary workFor subcontractorVisa sponsorship
$88.2k - $163.8k
...Senior Consulting Manager Amex GBT is a place where colleagues find inspiration in travel as a force for good and – through... ...each country and start the day you do. These include health and welfare insurance plans, retirement programs, parental leave, adoption assistance...Health InsuranceImmediate startFlexible hours$69k - $89k
Manager, Grassroots Advocacy, Global Health Advocacy Job Category : Career Opportunities Requisition Number : MANAG002170 Job Type : Full-Time, Hybrid... ...Health for US, including agenda development, session planning, speaker coordination, staff role assignments, and overall...Health InsuranceFull timeContract workTemporary workFlexible hours3 days per week- ...responsibilities: In close partnership with health care team, it assures smooth... ...insurance to explain these plans. Obtains pre-certifications... ...' health care insurers or managed care providers. Troubleshoot... ...reports to track referral/consult patterns, data regarding physician...Health InsuranceWork at office
- ...Washington, DC is seeking a Resident Care Director Assistant responsible for evaluating residents' health and designing care plans. The role involves supervising medication management, coordinating health services, and ensuring compliance with regulations. Candidates must be...Health InsuranceFull time
- EY is seeking a proactive Manager in the Transactions group to consult on complex accounting issues and collaborate with clients and team members for strategic solutions. Based in McLean, the ideal candidate will have 2 to 5 years of experience in public accounting, strong...Health InsuranceFlexible hours
$160k
...challenges. Our teams work across consulting and communications to help... .... The primary role of a Manager, Life Sciences Strategy... ...college or university in Science, Health, or Business concentration... ...health care insurance, retirement plans, generous paid time off and...Health InsuranceWork experience placement$147.9k - $200.1k
...seeking a Strategic Pursuits Manager—the principal deal leader for... ...including comprehensive win plans mapping stakeholders, competitors... ...leadership on pipeline health, competitive positioning, and... ...Business Development, Sales, or Consulting Experience interpreting data...Health InsuranceFlexible hoursShift work$205k - $235k
...Corporate and Growth Strategy – Health – Director EY-Parthenon’s... ..., we’ve reimagined strategic consulting to work in a world of... ...project tasks and deliverables, managing day-to-day problem-solving and... ...client advisory or strategic planning within a professional services...Health InsuranceFull timeWork experience placementSummer holidayWork at officeFlexible hours- Project or Program Manager, Health and Human Services Sector Full-time Catapult Consultants is a global professional services and management consulting company specializing... ...on the project Develop the project management plan, assign resources to tasks as needed, and...Civilian ContractorFull timeContract workPart timeFor subcontractorWork at officeLocal areaImmediate start
- Johns Hopkins Health Plans is seeking a Product Manager for the ACG System program in the Washington, DC area. You will own the product lifecycle, gather market feedback, and drive feature development with cross-functional teams to improve population health analytics. The...Health Insurance
$150k
...needs. Interacts with senior management levels at clients and... ...strategies, develops client messaging plans and relationships, and... ...experience in sales for a large Consulting, Technology and/or Services provider... ...experience in sales within Health sectors, showing sales quota...For contractorsFor subcontractorWork at office- ...Overview Requisition #:668261 | Location: Johns Hopkins Health Plans, Hanover, MD 21076 | Category: Social Work/Mental Health | Schedule... ...Employment Type: Full Time Johns Hopkins Health Plans (JHHP) is the managed care and health services business of Johns Hopkins Medicine....Health InsuranceFull timeWork experience placementLocal areaDay shift
- Overview The Manager supports enterprise healthcare transformation... ...day‑to‑day execution, guide consulting teams, and contribute to long... ...fields of national security, health care, and information technology... ...approaches, actionable plans, and measurable outcomes Apply...Work at officeShift work
$142.6k - $261.5k
...Your key responsibilities As a Manager in Technology Analysis, you will play a... ...working sessions, leading workstreams from planning through execution and closure. Skills... ...onshore/offshore team members within a consulting or client-facing environment. Strong...Health InsuranceSummer holidayFlexible hours$140k - $175k
...Marketbridgeis a leading integrated growth consulting and marketing services firm that... ...from strategy through execution.We combine management consultancy with marketing agencyexpertise... ...technology, data, strategies, processes, and plans to fuel sustainable revenue growth and...Health InsuranceSummer workWork at officeRemote workWorldwideVisa sponsorshipFlexible hours
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Manager, Health Plan Consulting. Be the first to apply!
Related searches
- clinic supervisor Arlington, VA
- clinical data manager remote Arlington, VA
- clinical research manager remote Arlington, VA
- director sr. director clinical operations Arlington, VA
- health services manager Arlington, VA
- clinical director Arlington, VA
- occupational health manager Arlington, VA
- senior director clinical operations Arlington, VA
- director of health information management Arlington, VA
- medical coding manager Arlington, VA

