Health Plan/PBM Expert

An emerging healthcare data and analytics organization is seeking a fractional Payer Strategy Advisor to support expansion into the health plan market. This role will act as a strategic partner to executive leadership, providing guidance on how to position and commercialize a data-driven product offering to large payer organizations.

This individual will bring deep expertise in payer operations, including actuarial methodologies, risk modeling, and premium pricing, and will help shape the go-to-market strategy for a new target customer segment.

• Advise executive leadership on go-to-market strategy for entering the payer segment
• Define and refine value propositions for payer organizations, including health plans and insurers
• Identify target buyer personas (e.g., actuarial, network, medical economics, product teams) and engagement strategies
• Provide insights into payer decision-making processes, including purchasing criteria and internal stakeholders
• Translate product capabilities into payer-relevant business outcomes, including cost savings, risk optimization, and care management improvements
• Support development of business cases, pricing models, and commercialization strategies
• Provide guidance on product-market fit, including feature enhancements and positioning
• Collaborate with business development, product, and leadership teams to align strategy and execution
  
  

• Significant experience working within or closely with large payer organizations (health plans/insurers)
• Deep expertise in actuarial modeling, risk adjustment, premium pricing, or medical economics
• Strong understanding of payer operations, including network strategy and financial performance drivers
• Knowledge of Medicare Fee-for-Service and/or Medicare Advantage, including claims data and utilization patterns
• Proven ability to develop and advise on go-to-market strategies and new product launches
• Strong executive presence with the ability to influence C-suite stakeholders
  
  

• Experience with healthcare data, analytics, or insights-driven products
• Familiarity with life sciences and pharmaceutical ecosystems
• Prior experience in consulting, advisory, or fractional leadership roles
• Exposure to product strategy or commercialization in healthcare technology
  
  

• Type: Fractional / Advisory (approximately 10 hours per week)
• Location: Remote
• Duration: ~6 months (with potential extension)
  

About Korn Ferry

Korn Ferry unleashes potential in people, teams, and organizations. We work with our clients to design optimal organization structures, roles, and responsibilities. We help them hire the right people and advise them on how to reward and motivate their workforce while developing professionals as they navigate and advance their careers. To learn more, please visit Korn Ferry at www.Kornferry.com