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Huron · 2 days ago

Healthcare Consulting Sr Director – Managed Care & Payment Strategy

Chicago, IL

Full-time

Hybrid

Director/Executive

$215K/yr - $351K/yr

10+ years exp

Huron helps its clients drive growth, enhance performance, and sustain leadership in the markets they serve. As a Senior Director with our Healthcare team, you will lead complex healthcare consulting engagements, manage engagement-wide economics, and develop solutions for performance improvement initiatives.

ConsultingInformation TechnologyProfessional Services

No H1B

Responsibilities

Lead complex healthcare consulting engagements, creating collaborative, high-performing environments, and ensuring successful client outcomes

Manage engagement-wide economics, including budgets, revenue forecasting, margins, invoicing, and billing

Apply analytical and critical thinking skills to quantify benefits, identify risks, and develop solutions for initiatives impacting a healthcare organization’s contractual relationships with payers and overall reimbursement level

Communicate effectively to understand client challenges, create customized solutions, manage client expectations, deliver impactful presentations and proposals

Build strong executive-level relationships, lead change processes, and identify new business opportunities, leveraging Huron's capabilities to meet client objectives

Qualification

Healthcare management consultingPayer contracting expertiseValue-based payment modelsRevenue performance improvementTeam development strategiesMicrosoft Office proficiencyClient relationship buildingEffective communicationCritical thinking

Required

Bachelor's degree required

Minimum of 10 years of relevant experience, including at least 5 years of progressive healthcare management consulting experience. A combination of consulting and senior leadership roles within provider organizations may be considered, but strong healthcare consulting experience is essential

Demonstrated expertise in fee-for-service payer contracting and reimbursement, including Traditional (“Original”) Medicare reimbursement/payment systems, as well as with innovative payment models, negotiating complex payer reimbursement contracts for provider organizations, understanding reimbursement methodology impact on net patient service revenue, and driving revenue performance improvement for a variety of healthcare organizations. (Huron's clients range from national/regional integrated delivery systems and academic medical centers to critical access hospitals, as well as ambulatory surgery centers and single- or multi- specialty medical groups.)

Extensive experience in designing and contracting for value- and risk- based payments and alternative payment models, including value-based readiness assessments, care model design, ACO development (e.g., MSSP, ACO REACH, Commercial shared risks), Medicaid managed care participation. Experience with population health initiatives such as patient-centered medical homes (and other characteristics of enhanced primary care) as well as contracting vehicles (clinically integrated networks [CINs] and/or independent provider networks [IPAs])

Proven commitment to team development and engagement through effective coaching, talent development, and retention strategies, with a strong ability to deliver actionable, timely feedback that drives performance

The ability to travel based on client, enterprise, or project needs is an essential function of this role. While travel requirements may vary based on business need, the current average travel in the Healthcare practice is less than 50%, annually

Proficiency in Microsoft Office (Word, PowerPoint, Excel)

US Work Authorization Required

Preferred

Master's degree or equivalent experience

Experience in a matrixed organization or cross-functional team environment

Exposure to clinical care delivery in a hospital and/or medical group, to understand the interplay between providing care and reimbursement

Experience with institutional, professional, and/or global capitation arrangements, including the contracting and economic mechanisms (i.e., division of financial responsibilities [DOFR])

Benefits

Medical, dental and vision coverage

Other wellness programs

Company

Huron

Glassdoor4.0

Huron is a global professional services firm that collaborates with clients to put possible into practice by creating sound strategies, optimizing operations, accelerating digital transformation, and empowering businesses and their people to own their future.

Founded in 2002

Chicago, Illinois, USA

5001-10000 employees