Consulting Director (Executive) Healthcare Contracting and Managed Care Strategy
GuidehouseAbout the role
Job Family:
Finance & Accounting Consulting
Travel Required:
Clearance Required:
What You Will Do:
Guidehouse is engineering revenue cycle on a platform that can power the future of health services reimbursements. Complexity, friction and duplicity impede healthcare transactions. Our Finance group is focused on ensuring healthcare providers align contracts with the right reimbursement strategies/operations and engineer revenue cycle operations, simplify consumer experience and minimize administrative cost. Our approach is to strategically and operationally elevate the entire healthcare experience for patients leveraging our full scope of reimbursement capabilities along with cutting-edge technology in machine learning, automation and financial technology to reimagine revenue cycle.
You will be responsible for manage client relationships and account projects. This position requires outstanding client management, problem-solving, and communication skills; experience leading complex contract strategy and financial reengineering and operations spanning multiple teams and stakeholders; and managing C-suite relationships and communications. In this role, you will drive internal strategic and operational initiatives.
What You Will Do:
- Support the growth of the team: help hire, develop, and mentor team members; plan for the future by identifying and addressing bottlenecks, gaps, and risks
- Develop and maintain strong client relationships that provide leverage for decision-making and effective change management
- You will refine Guidehouse Finance Area with an emphasis on managed care strategy, price transparency, physician enterprise strategy, digital health transformation, revenue portfolio rebalancing, access, enterprise strategy, M&A, payer-provider partnerships, and reimbursement frameworks
- You will help shape our consulting team and deliverables to identify and analyze the root cause of user and system issues, and strategize and help operationalize efficient workflows, and implement technology solutions within the financial operating systems.
- Contribute to the design, documentation, and execution of repeatable and scalable client financial frameworks and client deliverables.
- You will provide account management strategies that deliver an industry leading client experience
- Work cross-functionally within Guidehouse finance /revenue cycle teams as well as our broader portfolio of healthcare services to bring integrated sustainable solutions to healthcare clients
- Proactively contribute to the strategic direction and priorities for the finance contract strategy and Finance Operations team
What You Will Need:
- 10+ yrs. working in health system complex contract and pricing strategy and finance operations with a heavy focus leading managed care strategy, price transparency, physician enterprise strategy, digital health transformation, revenue portfolio rebalancing, access, enterprise strategy, M&A, payer-provider partnership and their design and implementation.
- Demonstrated success in complex problem solving and root cause analysis and structured solutioning to better engineer financial objectives and the operations /reimbursement for the consumer, business and clinician to measurably improve satisfaction and impact.
- 3+ yrs. experience independently owning senior level stakeholder relationships/communication and accountability for delivering successful cross-functional project outcomes
- Management consulting experience or consulting like experience managing client and internal teams responsible for managed care strategy, price transparency, physician enterprise strategy, revenue portfolio rebalancing, access and/or enterprise strategy
- 3+ yrs. applying financial rigor that resulted in demonstrative financial turn around in struggling Health entities
- Proficient understanding of EMR applications (Epic and Cerner)
- 10+ yrs. strategizing, interpreting and designing process, data, and metadata to synthesize and execute strategies and process change and improvement that deliver defined financial results
- You have the ability to quickly synthesize information and data and present to senior level stakeholders
- Ability to create standardized processes with strong organization, time management and project management skills
- Bachelors degree in accredited college. MBA Preferred
- Travel up to 50% of the time to client site(s)
What Would Be Nice To Have:
- 3+ yrs. selling $2M+ credited annually of consulting or professional services (heavily preferred)
- 3+ yrs. of management consulting experience in healthcare strategy (managed care contracts preferred)
- You have demonstrated ability to carry a col
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