Director, Health Plan Strategy

Company Description

PG Forsta is the leading experience measurement, data analytics, and insights provider for complex industries-a status we earned over decades of deep partnership with clients to help them understand and meet the needs of their key stakeholders. Our earliest roots are in U.S. healthcare -perhaps the most complex of all industries. Today we serve clients around the globe in every industry to help them improve the Human Experiences at the heart of their business. We serve our clients through an unparalleled offering that combines technology, data, and expertise to enable them to pinpoint and prioritize opportunities, accelerate improvement efforts and build lifetime loyalty among their customers and employees.

Like all great companies, our success is a function of our people and our culture. Our employees have world-class talent, a collaborative work ethic, and a passion for the work that have earned us trusted advisor status among the world's most recognized brands. As a member of the team, you will help us create value for our clients, you will make us better through your contribution to the work and your voice in the process. Ours is a path of learning and continuous improvement; team efforts chart the course for corporate success.

Our Mission:

We empower organizations to deliver the best experiences. With industry expertise and technology, we turn data into insights that drive innovation and action.

Our Values:

To put Human Experience at the heart of organizations so every person can be seen and understood.

• Energize the customer relationship:Our clients are our partners. We make their goals our own, working side by side to turn challenges into solutions.
• Success starts with me:Personal ownership fuels collective success. We each play our part and empower our teammates to do the same.
• Commit to learning:Every win is a springboard. Every hurdle is a lesson. We use each experience as an opportunity to grow.
• Dare to innovate:We challenge the status quo with creativity and innovation as our true north.
• Better together:We check our egos at the door. We work together, so we win together.

PG Forsta is seeking a dynamic and strategic Director of Strategy to lead the development and execution of our company's vision while fostering deep customer relationships and championing our mission in the healthcare industry. You will drive growth by leveraging your extensive experience in Medicare Advantage (MA) Stars, quality improvement, and government programs. This role requires a customer-obsessed leader with exceptional leadership and public speaking skills to align cross-functional teams, inspire stakeholders, and position PG Forsa as the premier Stars analytics provider.

Key Responsibilities

• Strategic Planning: Develop and execute a forward-thinking strategic plan to expand solutions and consulting services, prioritizing customer needs and market opportunities in the healthcare sector.
• Customer Relationships: Build and nurture long-term, trust-based relationships with clients, acting as a strategic partner to understand their Stars challenges and deliver tailored solutions that drive measurable outcomes.
• Customer Advisory Board: Lead the quarterly Customer Advisory Board sessions to strengthen relationships and ensure alignment with our Health Plans' evolving needs.
• Leadership: Lead, mentor, and inspire cross-functional teams-including Product Development, Health Plan Strategy, and Sales-to align with strategic goals and foster a culture of collaboration, innovation, and customer focus.
• Public Speaking & Advocacy: Represent PG Forsta as a thought leader through compelling presentations at industry conferences, webinars, and customer events, showcasing our expertise in Medicare Stars, government programs, and analytics solutions.
• Market Analysis: Leverage your MA Stars and government program experience to analyze industry trends, CMS policy changes, and competitor strategies, identifying opportunities to enhance PG Forsta's offerings and market position.
• Product and Service Innovation: Collaborate with the Product team to refine tools like Stars Monitor, EQO, and Medicaid Monitor, ensuring they address evolving Health Plan needs and requirements.
• Health Plan Strategy and Enablement Alignment: Partner with customer success team to translate strategic initiatives into actionable plans that elevate plan performance and deepen customer loyalty.
• Performance Metrics: Establish and track KPIs related to customer satisfaction, revenue growth, and Stars performance improvements to measure the success of strategic efforts.
• Risk Management: Anticipate and address risks in the Stars ecosystem (e.g., regulatory shifts), developing proactive strategies to safeguard Health Plan and company success.

Qualifications

• Education: Bachelor's degree in business, healthcare administration, or a related field; MBA or advanced degree preferred.
• Experience:
• 8+ years of progressive experience in healthcare quality improvement or government programs, with a minimum of 3-5 years as a Director of Quality, MA Stars lead, or similar leadership role.
• Extensive experience with Medicare Advantage (MA) CMS Star Ratings programs is required, including hands-on expertise in Stars metrics, quality improvement initiatives, and regulatory compliance.
• Demonstrated experience with other government programs, such as Medicaid, including knowledge of quality measures, performance standards, and operational requirements.
• Skills:
• Proven expertise in building and maintaining strong customer relationships within the healthcare industry.
• Exceptional leadership abilities, with a track record of motivating teams and driving strategic alignment.
• Outstanding public speaking and presentation skills, with experience engaging diverse audiences (e.g., clients/customers, industry stakeholders, or conferences).
• Strong analytical skills, with the ability to interpret Stars data, market trends, and client feedback to inform strategy.
• Proficiency with healthcare analytics tools and technology solutions (e.g., data modeling, scenario planning) is a plus.
• Attributes: Strategic thinker, customer-obsessed, inspiring leader, and confident communicator with a passion for improving healthcare outcomes through Medicare Stars and government program excellence.

Don't meet every single requirement?Studies have shown that women and people of color are less likely to apply to jobs unless they meet every single qualification. At Press Ganey we are dedicated to building a diverse, inclusive and authentic workplace, so if you're excited about this role but your past experience doesn't align perfectly with every qualification in the job description, we encourage you to apply anyways. You may be just the right candidate for this or other roles.

Additional Information for US based jobs:

Press Ganey Associates LLC is an Equal Employment Opportunity/Affirmative Action employer and well committed to a diverse workforce. We do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, veteran status, and basis of disability or any other federal, state, or local protected class.

Pay Transparency Non-Discrimination Notice - Press Ganey will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor's legal duty to furnish information.

The expected base salary for this position ranges from $160,000 to $200,000. It is not typical for offers to be made at or near the top of the range. Salary offers are based on a wide range of factors including relevant skills, training, experience, education, and, where applicable, licensure or certifications obtained. Market and organizational factors are also considered. In addition to base salary and a competitive benefits package, successful candidates are eligible to receive a discretionary bonus or commission tied to achieved results.

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