At a Glance
- Tasks: Analyse contracts, optimise reimbursements, and improve healthcare cost-effectiveness.
- Company: Envision, a leader in consulting for the life sciences industry.
- Benefits: Competitive salary, career growth, and a chance to make a real impact.
- Other info: Collaborative environment with opportunities to work across departments.
- Why this job: Join a dynamic team and shape the future of healthcare finance.
- Qualifications: Bachelor's degree and 5+ years in managed care consulting required.
The predicted salary is between 93800 - 122000 £ per year.
At Envision, we provide consulting and outsourcing solutions to the life sciences industry, helping manufacturers manage revenue and compliance.
As a Senior Consultant, you will provide strategic guidance and support to healthcare organizations in managing their relationships with insurance providers and optimizing reimbursement for services. You will analyze and negotiate contracts, evaluate payment models, and develop strategies to improve cost-effectiveness and quality of care. Additional responsibilities include regulatory compliance, network development, and financial analysis.
Role responsibilities:
- Manage executed managed care contracts from system entry through to rebate validations and payment using multiple systems in a timely and compliant manner.
- Ensure accurate and timely processing of assigned accounts including system entry, rebates, validation, reporting, correspondence, and all other aspects of commercial contract administration.
- Perform detailed analysis and validation of rebate claim data in order to accurately adjudicate the managed care rebates according to the terms specified in the contracts.
- Perform formulary review on a quarterly basis to confirm formulary position of products on contract.
- Set up and maintain contracts pertaining to assigned accounts in rebate adjudication system and ensure that they properly reflect the contract terms and requirements.
- Review key financial, membership and utilization reports to monitor trends and research any significant changes in utilization.
- Collaborate with team members across multiple departments to facilitate the exchange of information, address needs, and clarify contract requirements with internal and external customers.
- Serve as liaison between management and customers in order to resolve any disputed rebate claim data.
Skills & expertise:
- Bachelor's degree in Healthcare, Accounting/Finance, Business Administration or Technology related field required.
- Minimum 5 years of managed care consulting, healthcare finance, or payer contracting required.
- Minimum 2 years of managed care contract negotiating with improved financial performance required.
Salary range: £93,800 - £122,000
Senior Consultant, Managed Care Rebates employer: Envision Pharma Group
At Envision Pharma Group, we pride ourselves on being an exceptional employer that fosters a culture of collaboration, growth, and empowerment. Our hybrid working model allows you to enjoy the flexibility of remote work while being part of a supportive team in our Wilmslow office, where your contributions directly impact the lives of patients worldwide. With a commitment to employee development and a focus on creating meaningful outcomes, you'll find ample opportunities to learn and thrive in your HR career with us.
StudySmarter Expert Advice🤫
We think this is how you could land Senior Consultant, Managed Care Rebates
✨Tip Number 1
Network like a pro! Reach out to your connections in the healthcare and managed care sectors. Attend industry events or webinars where you can meet potential employers and showcase your expertise.
✨Tip Number 2
Prepare for interviews by brushing up on your knowledge of managed care contracts and reimbursement strategies. We recommend practising common interview questions with a friend or using mock interview tools to boost your confidence.
✨Tip Number 3
Don’t just wait for job openings—create opportunities! Reach out directly to companies you admire, like Envision, and express your interest in their work. A proactive approach can set you apart from other candidates.
✨Tip Number 4
Utilise our website to apply for roles that match your skills. We’ve got a range of resources to help you stand out, so make sure to take advantage of them when submitting your application!
We think you need these skills to ace Senior Consultant, Managed Care Rebates
Some tips for your application 🫡
Tailor Your CV:Make sure your CV speaks directly to the role of Senior Consultant. Highlight your experience in managed care consulting and any relevant financial analysis skills. We want to see how your background aligns with what we do!
Craft a Compelling Cover Letter:Your cover letter is your chance to shine! Use it to explain why you're passionate about healthcare consulting and how you can help us optimise reimbursement strategies. Keep it engaging and personal—let your personality come through!
Showcase Relevant Experience:When detailing your work history, focus on specific achievements in managed care contract negotiations and financial performance improvements. We love numbers, so if you can quantify your successes, even better!
Apply Through Our Website:We encourage you to apply directly through our website. It’s the best way for us to receive your application and ensures you’re considered for the role. Plus, it shows you’re keen to join our team at StudySmarter!
How to prepare for a job interview at Envision Pharma Group
✨Know Your Numbers
As a Senior Consultant, you'll be dealing with financial analysis and contract negotiations. Brush up on key metrics related to managed care rebates and reimbursement models. Be ready to discuss how you've improved financial performance in past roles.
✨Showcase Your Analytical Skills
Prepare examples of how you've performed detailed analyses in previous positions. Highlight specific instances where your insights led to better decision-making or cost-effectiveness. This will demonstrate your ability to deliver value in the role.
✨Understand Regulatory Compliance
Familiarise yourself with the regulatory landscape affecting managed care contracts. Be prepared to discuss how you’ve ensured compliance in your previous roles and how you would approach it at Envision.
✨Collaboration is Key
This role involves working across multiple departments. Think of examples where you've successfully collaborated with others to achieve a common goal. Emphasise your communication skills and how you can serve as a liaison between management and customers.
