Healthcare Partner, Managed Care Consulting

🔥 0 minutes ago

🇺🇸 United States – Remote

💵 $310k - $520k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🪙 Affiliate Manager

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Guidehouse

WebsiteLinkedInAll Job Openings

10,000+ employees

Founded 2018

💰 Grant on 2023-02

Consulting • Digital Services • Public Sector

Guidehouse is a global consultancy offering advisory, digital, and managed services across commercial and public sectors. It is purpose-built to support industries such as national security, financial services, healthcare, energy, and infrastructure. Guidehouse collaborates with leaders to navigate complexity and drives transformational changes that impact the future. Their expertise spans data analytics, digital technologies, risk management, and more, with a strong emphasis on sustainability and innovation.

📋 Description

• The desired Partner, Managed Care Advisory will have the opportunity to drive significant revenue enhancement and strategic repositioning for healthcare clients. • This leader will be responsible for helping organizations identify and capture millions in potential revenue through comprehensive managed care solutions, including commercial rate benchmarking and payer price transparency analytics. • The role involves navigating complex contract negotiations, particularly with challenging payers, and developing strategies that can transform a client's financial performance. • This leader’s impact will extend beyond immediate financial gains, potentially helping distressed healthcare organizations improve their margin and market positioning by addressing critical managed care contract challenges. • The Partner, Managed Care Consulting is a senior leadership position within the Guidehouse Healthcare Practice, specifically focused on leading and driving growth for the Healthcare sector. • This partner will be responsible for bringing and developing a book of business and have an oversight of ongoing project delivery solution development and management of teams across multiple concurrent client engagements across our managed care vertical. • This role is critical to the success of the overall practice growth strategy, and will have responsibility for originating, closing, and managing clients, leading consulting teams, and ensuring the delivery of high-quality revenue cycle strategies and programs. • This leader must be both strategic and operational, possessing deep knowledge and experience on how health systems work. • They must successfully develop and execute against the vision for Managed Care services, including driving consulting projects that outline transformative initiatives to contain costs, enhance revenues, and lay out initiatives for execution across the firm for impact. • Tying these initiatives to metrics and KPIs to show both revenue increases and cost containment success is crucial to the role. • They must be experts in selling and delivering advisory work that assists healthcare organizations in optimizing performance, enhancing efficiency and ensuring compliance within industry regulations. • This role is key in shaping and driving consulting opportunities across the entire managed care life cycle. • This Partner will be key in helping build out the Managed Care practice, helping develop and mentor consultants in new methods to enhance performance improvement and drive impactful transformation initiatives leveraging the Guidehouse platform.

🎯 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 • 15+ 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 • Bachelor's degree from accredited school required • Demonstrated leadership achieving outcomes in healthcare consulting focused strategy and transformation projects • 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