Associate Director - Healthcare Value Transformation

Salary depends on experience
Posted on 04/18/18
8 - 10 years experience
Salary depends on experience
Posted on 04/18/18

Responsibilities

This role can be based in any of the following locations: Chicago, IL; Atlanta, GA; Washington, DC; New York, NY; Denver, CO; Tampa, FL; Indianapolis, IN; Minneapolis, MN.

We are currently seeking an Associate Director with prior healthcare Payer strategy consultingexperience or a blend of relevant healthcare payer industry and consulting experience. The successful candidate will:

  • Take a multidisciplinary approach to addressing projects in one or more of the practice’s following focus areas:
    • Enterprise Strategy
    • Clinical Managed Care Strategy (Post-Acute Care, Service Lines, Care Continuum)
    • New Revenue Models (Managed Care, Payor and Pricing Strategy)
    • Development of alternative value based care models
    • Accountable care organization operations including process improvement, LeanSix Sigma skills in a payer environment
    • Medical management design and operations (e.g., utilization review, medical management, Medicare Advantage, case management)
    • M&A pre-deal feasibility, due diligence, pre-close, and post-close strategic and financial planning in a payer environment
  • Accountable for client relationships and managing day-to-day program work with a focus on the payer and health plan strategy and operations.
  • Facilitate/ or lead internal team and external client meetings.With health plans, provider sponsored plans and/or payer clients.
  • Regularly present results and updates to clients, and manage client expectations in line with budget and project objectives.
  • Manage internal multi-workstream project teams to deploy the right expertise to meet objectives.
  • Oversee various levels of consultants to achieve deliverable..
  • Assist where necessary with data acquisition, integration and analysis to support a wide range of provider and payer analytics including financial analysis, clinical and operational benchmarking to direct decisions for payer clients.
  • Structure analysis methodology and direct junior staff on analysis execution and crafting impactful client solutions.
  • Lead the creation of “client ready” deliverables, including synthesizing the strategic, financial and operational implications of the team’s analyses.
  • Develop teams and individuals through coaching, feedback, and apprenticeship.
  • Directly support business development and sales activities.
  • Recognize add-on work opportunities at existing clients and suggest course of action.

Qualifications

  • 8+ years of previous work experience in a healthcare management consulting firm and/or a combination of industry and consulting experience.
  • Bachelor's Degree. MBA/MHA/healthcare related studies are preferable.
  • Experience putting together strategic models - (expert knowledge to the Payer Industry very important)
  • Ability to implement industry best practices and create an effective story line to present to payer clients (as well as provider).
  • Experience delegating to and directing others in the effective execution of a project plan.
  • Experience managing the quality of a team’s work product and producing “client ready” deliverables in the health payer area including managed care, STARS- quality programs, Medicare Advantage operations, medical management, contract negotiations, risk adjustment and /or reimbursement processes.
  • Experience leading team meetings and keeping team informed of relevant developments.
  • Experience in value-based payment arrangements such as Medicare Advantage/Managed Care, riskcontracting, shared savings arrangements, STARS programs, reimbursement, managed care programs and/or risk adjustment consulting.
  • Superior written and oral communication skills.
  • Excellent quantitative analysis, project management, research, and core consulting skills.
  • Solid proficiency in Word, Excel, PowerPoint, and Access. SAS and SPSS knowledge is a plus.
  • The ability and willingness to travel and work overtime whenever necessary.
  • Additional qualifications include efficiency, flexibility, innovative problem solving skills, a high level of motivation, and excellent organizational skills. Must be able to work well independently and within team structures.

Mental/Physical Requirements

  • Frequently communicates with clients and coworkers and must be able to share information effectively
  • Strong conceptual, as well as quantitative and qualitative analytical skills
  • Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously
  • Self-motivator with ability to work independently
  • Plan, direct, and coordinate work activities of others
  • Frequently travels by airplane, train or car as necessary to perform work at anotherlocation

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