Solving big problems, building trust in society, and empowering our clients to shape the future.
Healthcare Partner, Managed Care Consulting
Location
United States
Posted
4 days ago
Salary
$310K - $520K / year
Seniority
Lead
Job Description
Job Requirements
- Previous executive consulting or industry leadership with Medicaid OR Medicare/Medicare Advantage (STARS and quality), accountable care organization, or patient centered medical home highly desirable
- 10+ years professional experience in a combination of the following:
- ACO leadership
- Managed care
- Health Plan or Payer leadership
- Health Plan executive level contract management
- IT/Data management
- Quality management
- Client-facing healthcare consulting role
- Health policy analysis and health economics research.
- Risk predication and adjustment methods, and performance based procurement, Quality and total cost measures of care for Federal, State, and health plans who participate in the Affordable Care Act, Medicaid, and Medicare programs.
- Superb problem-solving and interpersonal skills
- Demonstrated use of analytical skills that found innovative, holistic, value based strategic solutions
- Demonstrated ability to lead and supervise staff in a collaborative and matrixed team environment to achieve budget and timeline goals
- Ability to sell consulting and building strong client relationships at the executive level, demonstrated by persuading boards and C-suites of Government Health State Agencies, Health Plan and Payor organizations to action
- Bachelors degree from accredited school required
- Demonstrated leadership achieving outcomes in healthcare consulting focused strategy and transformation projects
- Proficiency in MS Office Suite – Word, Excel, PowerPoint, MS Project
- 15+ years of work experience in healthcare management and/or strategy, or equivalent consulting experience.
- 3+ years of work experience with payor in Medicare or Medicare Operations strategy or operations leadership, or financial strategy /ops or contracting strategy is highly preferred
- Proven verbal and written communication skills, including the ability to persuade senior management or
- Knowledge of Medicaid managed care operational program elements including MMIS, eligibility and enrollment, captivation payments, quality performance and care coordination.
- Travel up to 50% as the job requires
Benefits
- Medical, Rx, Dental & Vision Insurance
- Personal and Family Sick Time & Company Paid Holidays
- Position may be eligible for a discretionary variable incentive bonus
- Parental Leave and Adoption Assistance
- 401(k) Retirement Plan
- Basic Life & Supplemental Life
- Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
- Short-Term & Long-Term Disability
- Student Loan PayDown
- Tuition Reimbursement, Personal Development & Learning Opportunities
- Skills Development & Certifications
- Employee Referral Program
- Corporate Sponsored Events & Community Outreach
- Emergency Back-Up Childcare Program
- Mobility Stipend
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