Director, Provider Strategy & Innovation - Provider Enterprise Solutions

Job Family:

Strategy & Transformation Consulting

Travel Required:

Up to 75%+

Clearance Required:

None

What You Will Do:

This Executive Consultant for the Physician Strategy, Operations & Services area will be responsible for the profitable growth of the firm’s Healthcare Physician Operations & Services area within our Strategy and Innovation area. The ideal candidate will bring extensive healthcare industry experience with a proven track record of delivering innovative clinical and strategic performance solutions to physician practices and provider systems. This individual will lead the design, development and implementation of solutions to create high performing health care provider organizations design and lead a portfolio of critical consulting engagements at physician groups and practices across the country. The business lines that the Director will be part of leading include a full range of Physician-Hospital integration and affiliation issues including clinical, operational and revenue cycle assistance with merging, integrating and stabilizing practice operations and billing as well as assessment of and implementation of provider based billing.

This executive consultant will participate in and help direct nationwide business development and relationship management activities for Guidehouse Healthcare clients and prospects and provide leadership for structuring and integrating our current offerings to serve their needs. Finally, this individual will play a key role in helping guide the firm’s continued development of leading-edge consulting, in the performance improvement service line.

Client Relationship Management

• Actively manage a portfolio of client engagements and consulting staff of the enterprise assuring all contractual targets and deliverables are met

• Across active engagements, strategize with consultant teams on project approach, facilitating communications, and managing risk

• Drive quality and standards of work product. Ensure superior engagement quality

• Maintain strong relationships with C-level contacts at client healthcare organizations

• Develop and instill best practices throughout the organization.

New Business Development

• Serve as a thought leader in the public domain and assist in building the Guidehouse Healthcare brand

• Leverage the firm’s existing healthcare industry relationships and develop new relationships to develop new clients and expand existing client relationships

• Serve as the lead executive for new business opportunities

• Serve as content expert for client issues

• Be personally engaged in growing the practice at a rate of $3-$5M in annual new business for the firm

• Serve on the firm’s panel of national spokespersons on matters relating to performance improvement, revenue management, compensation, facilities, workforce, clinical and administrative redesign, pricing and reimbursement, market research and practice management.

Consulting Staff Leadership

• Drive innovation of products to assist clients with readiness for healthcare reform

• Direct line management for consultants assigned to client engagements led

• Career development, advocacy for, recruitment of and retention of members of the Strategy & Innovation consulting team

• Training and on-boarding of new consultants

• Contribute to the development of a positive and performance oriented culture

Content Expertise

• Ability to lead a comprehensive assessment of physician groups operations and areas for improvement leading to a comprehensive redesign of client workflow and processes

• Experience with innovative third party payor contracting arrangements, including clinical integration, full and partial risk capitation, bundled payments, shared savings arrangements and pay-for-performance; Ability to assess the payor environment and strategic plan for approaching payors to ensure value capture from plan design/contracts

• Expertise in physician led, professionally managed health system sponsored physician employment with appropriately aligned incentives around both physician practice performance and quality metrics including adherence to best practice clinical guidelines, cost effective medicine and other quality indicators

• Ability to review processes of care and identify gaps (staffing, process, culture, etc.) to migrate to an optimum care organization

• Ability to review IT infrastructure and facilitate the discussion around the necessary investments needed to set up the organization for future healthcare needs