Managing Consultant - Clinical Operations - Care Management/Utilization Management

Job Family:

Strategy & Transformation Consulting

Travel Required:

Up to 75%+

Clearance Required:

None

What You Will Do:

This position includes responsibilities in both leveraging and delivering quality, high-level, consulting services to clients for the Guidehouse Clinical Operations Practice. Organizations across the health industry are seeking holistic solutions that transform every essential function in the delivery of care and other services. Guidehouse helps organizations transform their clinical operating model with virtual, digital, and automated technology, and advanced data analytics, to facilitate effective and efficient care delivery across the continuum. Our person-centered approach engages and integrates clinical and operational workstreams that touch all aspects of the care continuum. Specific responsibilities include:

 

• Lead cross-continuum consulting engagements through transformational change for payer and provider organizations

• Leverage existing industry relationships for sales and engagement opportunities

• Manage client relationships at the C-Suite level and provide delivery at the operational level

• Deliver industry expertise and management consulting services in support of client engagements

• Deliver return on investment and  financial results based on initiation of processes and tactics.

• Establish account management relationships with key client decision makers with 100% reference ability.

• Deliver industry best practices in clinical care, care management, utilization management, throughput, and post-acute services for payers and providers.

• Create client-ready deliverables

• Mentor Guidehouse team members to develop skills and knowledge for payer and provider practices

• Provide visible leadership within the account and the practice.

What You Will Need:

• 5-7 years of prior relevant consulting and/or industry experience; and 3 years of client-facing consulting experience leading complex projects to timeline and scope with an exceptional attitude

• Recent experience working within a healthcare provider or payer setting, most of which is at the management level

• Ability to develop and drive complex, multi-faceted, multi-site, operational change and clinical improvement programs

• Clinical licensure and Bachelor’s degree from an accredited university; graduate degree preferred

• Excellent financial and quantitative acumen

• Experience using Microsoft office suite - primarily excel, power point, and visio

• Ability and willingness to travel up to 75%

What Would Be Nice To Have:

• Inpatient throughput (emergency room, care management, LOS, and post-acute setting)

• Inpatient utilization review and denials management

• Payer care management, utilization management and quality experience

• Positive and clear interpersonal communication skills with ability to facilitate the exchange of information at all levels internally, as well as with a clients

• Ability to develop and monitor performance metrics at all levels of operations

• 5 years of project/program management leadership of complex provider deliverables with majority of those years in larger provider systems

• Knowledge and familiarity with industry IT and tech-enabled solutions

• Capacity to adapt and lead others in response to changing business conditions

The annual salary range for this position is $113,000.00-$188,000.00. Compensa