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Fallon Health Senior Business Consultant, PACE Strategy in Worcester, Massachusetts

Overview

About Fallon Health

Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans, and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products. For more information, visit fallonhealth.org.

About Summit ElderCare :

Fallon Health operates the largest Program of All-Inclusive Care for the Elderly (PACE) in New England and the fifth largest in the country. Called Summit ElderCare, Fallon’s PACE helps provide older adults and their caregivers with a welcome alternative to nursing home care. Participants in Summit ElderCare have access to comprehensive medical services and social support at a Summit ElderCare site while they keep the independence of living in their own homes and communities.

Brief summary of purpose :

The Senior Business Consultant, PACE Strategy will initiate efforts and lead cross functional activity required to support PACE expansion and growth. S/he will work closely with the PACE leadership team and FH leaders to develop, and lead the implementation of the PACE strategy. S/he will lead or support efforts to develop, vet, and implement PACE expansion initiatives in-state and out of state with current and emerging external partners. S/he will work closely with peers in other functional areas to prioritize and facilitate implementation initiatives.

Responsibilities

P rimary Job Responsibilities:

  • Initiate, plan and facilitate PACE strategic planning efforts including expansion, develop and deliver strategic planning messaging, monitor execution of the strategy, initiate efforts to adjust the strategy as needed.

  • Collaborate with PACE leadership as well as peers from corporate functional areas to define and prioritize PACE related strategic projects and initiatives based on alignment to the Fallon Health strategic plan, financial and internal resource capacity. Maintain portfolio of PACE strategic initiatives, addressing changing or emerging requests, and reporting to the executive team as needed.

  • Partner with leaders to build, evaluate and manage new business relationships to support PACE growth. Individual must have the ability to conduct research and perform (or support) analysis on potential partners, utilize knowledge of due diligence protocols, and build business cases using knowledge of PACE programs.

  • Must have ability to identify potential partners, lead/facilitate internal and external meetings, prioritize and vet opportunities, and present such priorities and recommendations to PACE leadership.

  • Provide support in identifying new business opportunities primarily by maintaining an awareness of PACE marketplace trends, a keen understanding of the connection between state and federal regulations that may change the managed care marketplace, existing and emerging product offerings, and potential deal structures. Develop comprehensive research on potential partnership companies, competitors, and industry trends.

  • Along with PACE leadership, assume responsibility for project management of PACE growth initiatives from concept to execution through partnership with cross functional teams.

  • Establish and maintain account and client relationship management for post-partnership implementation. Develop and monitor key performance metrics and leading indicators to ensure all service levels are met.

  • Drive and manage broad range of projects as requested by the VP of Summit ElderCare & Fallon Health Weinberg or other executive leaders.

Qualifications

Education:

Bachelor’s degree required. MBA preferred.

License/Certifications:

N/A

Experience:

  • 8+ years in healthcare industry with a focus on strategic planning and implementation

  • Experience presenting and working with all levels of management including Executive/C-Level

Fallon Health provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

JT18

Location US-MA-Worcester

Posted Date 4 weeks ago (11/9/2021 2:38 PM)

Job ID 6598

# Positions 1

Category Business Development

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