60 Ombudsman Medical Advisor Jobs Hiring Near You

Company Description

Press Ganey 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.

Press Ganey is committed to providing reasonable accommodations to qualified individuals with disabilities or disabled veterans in the hiring process. If you need assistance or an accommodation to apply for a position online or for your interviews or assessments, please contact us at acommodations@pressganey.comPlease provide your contact information and the details of your request so we can best assist you.

Location: Remote, U.S.- Based
Travel: Up to 75%

Transform Performance. Protect Revenue. Elevate Experience.

Health plans face growing pressure from evolving regulations, declining margins, rising consumer expectations, and increasing competition. Press Ganey's Health Plan Consulting team partners with health plans and provider organizations to improve member experience, optimize quality performance, strengthen retention, and drive sustainable financial results.

Combining deep expertise in member experience, Medicare Stars, value-based care, and advanced analytics, we help organizations turn data into action and measurable outcomes.

Our Member Experience Consulting Solutions

• Journey Mapping & Experience Optimization
  Identify and eliminate friction across critical member touchpoints, including enrollment, customer service, care navigation, and access to care, improving loyalty, engagement, and outcomes.

• Voice of Customer (VoC) Strategy
  Integrate CAHPS, Net Promoter Score (NPS), and real-time member feedback into a comprehensive experience strategy that drives measurable improvement.

• Retention & Disenrollment Analytics
  Leverage advanced analytics and predictive insights to identify at-risk members, improve retention, reduce churn, and support growth initiatives.

Position Overview

The Associate Principal, Health Plan Consulting plays a key role in delivering high-impact consulting engagements for health plans and large medical groups nationwide. This individual serves as a trusted advisor, analytics leader, and engagement facilitator, helping clients improve member experience, quality outcomes, value-based care performance, and overall organizational effectiveness.

The Associate Principal will analyze complex healthcare data, develop actionable recommendations, facilitate executive and operational discussions, and support the implementation of experience transformation initiatives. This role requires a unique combination of healthcare industry expertise, consultative problem-solving, data analytics, and client relationship management.

Success in this position requires deep knowledge of health plan quality and performance programs, including Medicare Stars, CAHPS, HEDIS, patient experience, and value-based care initiatives.

Key ResponsibilitiesConsulting & Client Delivery

• Lead analytics development and insight generation for consulting engagements focused on member experience, quality improvement, retention, and value-based care performance.
• Develop executive-ready presentations, reports, strategic recommendations, and client-facing deliverables that translate complex data into actionable business strategies.
• Facilitate client meetings, workshops, and performance reviews with executive and operational stakeholders.
• Support clients in designing and implementing experience transformation initiatives that improve quality, member satisfaction, and business outcomes.
• Define engagement success metrics and measurement frameworks that demonstrate client impact and ROI.
• Manage engagement workstreams and ensure deliverables are completed on time and at the highest quality standards.

Analytics & Insights

• Conduct sophisticated analyses across Press Ganey and client data sources to identify trends, performance gaps, and improvement opportunities.
• Develop compelling data visualizations and performance dashboards that communicate insights to diverse stakeholder groups.
• Partner with internal subject matter experts, applications teams, and project managers to validate findings and develop recommendations.
• Leverage quantitative and qualitative data to drive strategic decision-making across member experience and quality improvement initiatives.
• Identify leading indicators and actionable opportunities related to member retention, disenrollment, CAHPS performance, and quality outcomes.

Client Partnership & Growth

• Build trusted relationships with client executives and operational leaders.
• Serve as a strategic thought partner by providing guidance on healthcare quality, experience transformation, and performance improvement initiatives.
• Collaborate with Consulting leadership to identify new opportunities and support engagement scoping, proposal development, and solution design.
• Contribute to client retention and growth by demonstrating measurable value and identifying opportunities for expanded partnerships.

Cross-Functional Collaboration

• Partner with Press Ganey consultants, engagement leaders, and product teams to maximize the use of data, analytics, and technology solutions throughout client engagements.
• Promote best practices and knowledge sharing across consulting teams.
• Support continuous improvement of consulting methodologies, tools, and client solutions.

Required QualificationsExperience

• 5+ years of experience within a health plan, integrated delivery system, large medical group, healthcare services organization, or related healthcare environment.
• Experience leading or supporting quality improvement, member experience, patient experience, or population health initiatives.
• 3+ years of healthcare consulting or other client-facing advisory experience.
• Demonstrated experience supporting Medicare Stars, CAHPS, HEDIS, value-based care, or related healthcare quality programs.

Technical & Analytical Expertise

• Exceptional analytical, quantitative, and problem-solving skills.
• Proven ability to perform complex healthcare data analysis and communicate findings effectively to executive audiences.
• Experience developing dashboards and visualizations using Power BI, Tableau, or similar analytics platforms.
• Advanced proficiency in Microsoft Office, including Excel and PowerPoint.
• Strong understanding of healthcare quality performance measures, outcomes reporting, and performance improvement methodologies.

Professional Skills

• Outstanding communication, presentation, facilitation, and consulting skills.
• Strong project management and organizational capabilities with the ability to manage multiple priorities simultaneously.
• Comfortable working independently in a fast-paced client-facing environment.
• Highly collaborative, adaptable, and solution oriented.
• Proven ability to influence stakeholders and drive action through data-driven recommendations.

Preferred Qualifications

• Experience working with Medicare Advantage organizations.
• Knowledge of Medicare Stars, HEDIS, CAHPS, patient experience, or value-based care performance programs.
• Experience supporting executive-level strategic planning and operational transformation initiatives.
• Advanced experience with healthcare analytics, predictive modeling, and retention analytics.

Education

Bachelor's degree in Healthcare Administration, Medical Informatics, Data Analytics, Public Health, Business, or a related field required. Advanced degree preferred. Relevant combinations of education and experience will be considered.

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 $145,000 - $215,000.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.

All your information will be kept confidential according to EEO guidelines.

Our privacy policy can be found here:https://www.pressganey.com/legal-privacy/