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The Manager of Decision Intelligence Consulting within the DT&I Ecosystem Decision Intelligence team leads high impact consulting engagements that shape critical product, technology, and investment decisions across the enterprise. As a core component of the Decision Intelligence model, this role focuses on high-touch, high-stakes advisory work requiring structured analysis, clear tradeoff evaluation, and strong executive alignment. Reporting to the Director of Technology Investment Strategy, this role partners with Domain Leaders, Product, Data, Engineering, and Shared Services to evaluate complex opportunities across the DT&I portfolio. 

The Manager is accountable for delivering Targeted Intelligence Reports, Build/Buy/Partner analyses, and executive decision briefs that integrate financial, technical, operational, and market perspectives. These outputs directly inform prioritization and investment decisions at the senior leadership level. This role ensures recommendations are analytically rigorous, strategically aligned, and executable within enterprise constraints. In addition to engagement delivery, the Manager operationalizes and evolves Decision Intelligence consulting practices, including methodologies, quality standards, and operating mechanisms aligned to the DT&I model. This includes accountability for structured intake, backlog prioritization, and ensuring work is evaluated at the appropriate level of depth and rigor. 

The Manager leads and develops a team of Decision Intelligence Consultants, driving consistent delivery quality, strong stakeholder engagement, and measurable impact. This role serves as a critical bridge between strategy and execution, enabling DT&I to make faster, more informed decisions on complex, high-consequence initiatives.

Major Responsibilities:

Decision Intelligence Consulting Delivery

• Lead high-touch consulting engagements focused on complex product, technology, and investment decisions.
• Own and deliver Build/Buy/Partner analyses, including financial modeling, capability assessment, vendor evaluation, and risk analysis.
• Own and deliver targeted intelligence reporting that provides DT&I leadership with critical market, technology, and capability intelligence related to core delivery areas
• Develop executive-ready decision briefs that synthesize complex data into clear, actionable recommendations.
• Ensure all deliverables meet high standards for analytical rigor, strategic alignment, and executive communication, and that consulting outputs are aligned with broader DT&I product lifecycle and decision-making cadence.

Operating Model & Practice Excellence

• Own and refine Decision Intelligence consulting methodologies, templates, and quality standards.
• Operationalize and enforce Decision Intelligence operating principles, including Agile practices such as structured intake, backlog management, and estimation rigor (e.g., Planning Poker).
• Ensure consistent application of frameworks for evaluating complexity, risk, and audience impact in decision making. 
• Continuously improve consulting effectiveness through feedback loops, retrospectives, and performance measurement.
• Ensure consulting work is appropriately scoped, sequenced, and delivered within established timelines.
• Monitor progress, manage risks, and adjust plans to ensure successful delivery of engagements.

Stakeholder Engagement & Executive Influence

• Serve as a trusted advisor and extension of the Director of Technology Investment Strategy as needed for senior leaders including VPs and SVPs across business and technology functions.
• Communicate complex analyses and recommendations with clarity, precision, and executive presence.
• Influence decision outcomes without direct authority, aligning stakeholders around shared objectives and tradeoffs.
• Build strong, durable relationships across DT&I and enterprise partners.

Domain Leader Advisory & Cross-Domain Enablement

• Serve as a strategic advisor to Domain Leaders on prioritization mechanics, tradeoffs, and dependency management.
• Support Domain Leaders in navigating complex cross-domain and pod-level decisions, especially where shared capabilities or platforms are required.
• Elevate cross-domain insights into actionable portfolio strategy recommendations.

People Leadership & Team Development

• Lead, coach, and develop a team of Decision Intelligence Consultants.
• Ensure high-quality delivery, professional growth, and strong engagement across the team.
• Build a culture of accountability, transparency, and continuous improvement.
• Assign work based on complexity, risk, and development opportunities, aligned to Agile planning processes.

Education & Experience:

• Bachelor's degree in Business, Finance, Technology, Economics, or a related field. - Required
• Master's degree (MBA) in Business, Strategy or related field. - Preferred
• 4+ years of leadership experience in technology, decision support, product, business analysis, finance, or a related discipline involving planning, analysis, and tradeoff evaluation. Leading engagements, workstreams, projects, or cross-functional projects may substitute for prior direct-report responsibility. - Required
• Demonstrated experience leading high-impact consulting engagements or strategic initiatives involving senior executive stakeholders. - Required
• Proven ability to structure and deliver Build vs Buy or similar in-depth analyses, including financial modeling, vendor evaluation, and capability assessment - Required
• Strong financial acumen, including experience with cost modeling, ROI analysis, and value realization frameworks. - Required
• Experience translating ambiguous business problems into structured analytical frameworks and actionable recommendations. - Required
• Demonstrated ability to synthesize complex data into executive-level communications (e.g., decision briefs, presentations). - Required
• Experience partnering with Product Management, Software & Data Engineering, AI/ML, and other technical teams to distill requirements and estimate complexity/timelines. - Required
• Proven ability to influence decision-making without direct authority in highly matrixed environments. - Required
• Prior experience in digital transformation, innovation, or enterprise technology organizations. - Preferred
• Demonstrated ability to lead, coach, and develop team members in consulting or analytical roles. -  Required
• Experience identifying and managing cross-domain dependencies, shared capabilities, and systemic risk – Preferred

Work Location/Schedule:

• Nashville, TN area (near Centennial Park)
• Onsite: M-F, 8am – 5pm

Travel Required:

• This job may require up to 25% travel.

Visa Sponsorship:

• Not offered, now or in the future

At HCA Healthcare, we are committed to fostering a culture of growth that allows you to build the career of a lifetime. We encourage you to apply for our Manager Ecosystem today. We review all applications promptly, and qualified candidates will be contacted to continue the process. Join us!

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.