ZS Associates

Medicare Advantage Manager

ZS Associates$120K — $150K *
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required; MBA or advanced degree preferred.
  • 8+ years of experience in health plan management consulting focusing on Medicare Advantage.
  • 3+ years in a senior consultative role at a professional services firm.
  • Proven ability to develop and drive commercial relationships at the VP level.
  • Strong experience in delivering digital solutions and tech innovations.
  • Excellent analytical, problem-solving, and communication skills.
  • Self-motivated with executive-level presence and a willingness to travel as needed.

Responsibilities

  • Demonstrate expertise in Medicare Advantage, covering Risk Adjustment and Quality management.
  • Develop data-driven solutions to improve financial and clinical performance for Medicare Advantage organizations.
  • Collaborate with stakeholders to enhance provider engagement and alignment of incentives.
  • Lead client relationships and spearhead business development initiatives.
  • Manage client delivery while proactively addressing risks and updating stakeholders.
  • Stay abreast of industry changes, regulatory updates, and market trends affecting Medicare Advantage.
  • Mentor cross-functional teams and foster a collaborative, high-performance environment.

Benefits

  • Comprehensive health and well-being package.
  • Financial planning and support.
  • Annual leave for work-life balance.
  • Opportunities for personal growth and professional development.
  • Custom learning pathways and skills development programs.
  • Flexible hybrid working model combining remote and on-site work.
Full Job Description
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:

ZS offers a comprehensive total rewards package including health and well-being, financial planning, annual leave, personal growth and professional development. Our robust skills development programs, multiple career progression options and internal mobility paths and collaborative culture empowers you to thrive as an individual and global team member.

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.

To complete your application:
Candidates must possess or be able to obtain work authorization for their intended country of employment. 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

About ZS Associates

ZS is a professional services firm that works side by side with companies to help develop and deliver products that drive customer value and company results. From R&D to portfolio strategy, customer insights, marketing and sales strategy, operations and technology, we leverage our deep industry expertise and leading-edge analytics to create solutions that work in the real world. Our most valuable asset is our people?a fact that?s reflected in our values-driven organization in which new perspectives are integral and new ideas are celebrated. ZSers are passionately committed to helping companies and their customers thrive in industries ranging from healthcare and life sciences, to high-tech, financial services, travel and transportation, and beyond.
Learn more about ZS Associates
Size
10,000 employees
Industry
Founded
1983

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