Healthcare Payers

Furst Group is in its 4th decade as an innovative leader in executive search and consulting for healthcare organizations. Our experience is vast and is evidenced by the fact that we’ve conducted more than 3,000 engagements. We came of age at the dawn of the HMO era and have been a trusted partner of health plans and managed care organizations since the early 1980s. We have been witness to the many changes and expectations placed upon insurers and have partnered with organizations across the payer spectrum. We understand your challenges, your needs and your future.

Health plans serve a diversity of populations and act as a catalyst for efficiencies in healthcare coverage for Americans. With their access to claims data, healthcare payers are crucial to insights into population health and helping to drive wellness solutions. Employers continually look to them to increase quality of care while minimizing costs. With our deep organizational and industry knowledge, we understand the issues your organization is facing, such as managed long term care programs; expanding services to include dual eligibles; innovative models of care management and health improvement; ACOs and exchanges; and connectivity with members and providers.

Furst Group has partnered with many of the top health plans in the U.S. We’ve done work for over a dozen Blues plans from Vermont to Hawaii. We are actively involved in Health Plan Alliance, AHIP and MHPA. This industry involvement over more than 30 years helps us to help you in determining your leadership needs and finding the very best talent.

Specialty Practices

  • National Health Plans
  • Government Programs (Medicaid and Medicare)
  • Blue Cross and Blue Shield Plans
  • Independent and Provider-Owned Health Plans

Leadership Functions

  • Board of Directors
  • CEO
  • All executive-level and C-suite roles

Functional Areas

  • Actuarial and Underwriting
  • Clinical and Medical Leadership
  • Compliance and regulatory
  • Finance
  • General Counsel
  • Government Programs
  • Human Resources
  • Information Technology
  • Medical Leadership
  • Network Development/Provider Relations
  • Operations (claims, call center and billing & enrollment)
  • Product Development and Management
  • Sales and Marketing