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Vice President, Health Care Consulting

New York City, NY, USA | Leading Management Consulting Company

  • Industry:
    Management Consulting
  • Position Type:
    Full-Time
  • Functions:
    General Management
    Biotech/R&D/Science
    Consulting - Strategy
  • Experience:
    10-12 years
    12-15 years
Job Description:
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The Vice President, Health Care Consulting will work closely with the CEO; Executive Vice President, Health Care Consulting; and other Leading Management Consulting Company team members as appropriate, to lead the development of consulting and business development opportunities, management of engagements (with a focus on leading clients through the process of enhancing clinical integration), establishing population health and restructuring financial alignment toward the accomplishment of the triple aim. The VP, Health Care Consulting will specifically focus on and be responsible for the following areas:

Actively support consulting business development including development of targeted sales strategies and market research for penetration within California, the Southwestern and the Northeastern U.S.

Develop value-add consulting services and products for hospitals, health plans and mid- to large-size physician organizations

Support the Executive VP, Health Care Consulting in developing, implementing and maintaining consulting engagement standards and training for the consulting division, including provision of technical quality assurance for engagement deliverables

Cross-sell consulting services in tandem with the Health Care Talent Innovations team for their client base

The VP, Health Care Consulting must be willing to travel up to 80% and support our business in New York, California, Texas and other assigned locations. They must be able to effectively manage business development, major engagements, projects and team members while maintaining excellent client rapport. 

Responsibilities:

Manage all assigned aspects of consulting engagements and other assigned contracts and projects from scope definition to delivery, assuming ultimate responsibility for contract deliverables, project resourcing and budget management

Development of proposals for business development in collaboration with organization leadership and team members

Build and manage relationships with key executives and staff at client sites to ensure the success of the engagement(s), including maintenance of engagement through communication and project management/coordination with assigned clients and stakeholders

Drive the development of a market research and sales strategy for health plans, healthy systems and major medical groups in the Western U.S.

Support the development and maintenance of the Health Care Consulting team of consultants, senior consultants, business analysts, senior advisors and others as appropriate, ensuring that there is ongoing recruitment and retention of team members with the right competencies and expectations, and that profitable annual growth can be maintained

Provide support to all company team members in areas including general business/product development; market research; process improvement/performance excellence and provision of consulting services to clients

Develop, update and disseminate knowledge documents related to areas of expertise, such as organizational excellence, revenue cycle, strategic planning and clinical integration

Develop peer-reviewed articles, sales materials, case studies, internal curricula and trainings

Represent the company, and client(s) as appropriate, at various professional networking, public relations, business development and fundraising events

Provide excellence in internal and external customer service

Ensure compliance with all local, state and federal regulations and ethical standards, as well as Leading Management Consulting Company employee expectations

Serve as a mentor to team members throughout the company

Carry out other duties, tasks and projects as assigned

Qualifications:

10-15 years of consulting experience with the majority spent in a management or subject matter expert role

Advanced degree in an applicable field (MBA, MPH, MHA) required

Must be able to work collaboratively and effectively while handling multiple projects on various timelines in an extremely fast-paced environment

Prior experience in at least two of the following areas strongly preferred:

 Network Development

10-15 years of Network Development experience

Experienced in building networks for payers, ACOs, IPAs and health systems

Development of provider criteria, performance management

Deep experience particularly in Medicaid/Medicare

Understands regulatory requirements for network adequacy, narrow networks, referrals management

Abilty to travel and be able to work w/ team in NYC.

 Care Management

10-15 years of Managed Care Contracting experience

Experience in IPAs, ACOs, clinically integrated health systems

Deep experience particularly in Medicaid/Medicare

Risk based payor and provider contracting

Developed and managed contracting and financial models for voluntary and employed physicians

Develop physician compensation plans, incentive structures, benchmarking

Ablility to travel and be able to work w/ team in NYC

Clinical Redesign

10-15 years of Clinical Redesign experience

RN/Nursing background is a plus

Experience in strategy and implementation of population health and clinical redesign for primary care, specialty care, practice transformation

Examples of work would include: ED triage strategies, specialty care redesign, econsult, disease management, referrals management

Worked within IPAs, ACO, population health vendors that have done implementation, ie Lumeris, Evolent, Conifer

Deep experience in Medicaid and Medicare

 Behavioral Health

10-15 years ofIntegrated Care - Behavioral health (substance use, physical health and APM) Program Development and Operations:

Medicaid Managed Care or Advantage:

How to address APM and how the priority needs of TX Medicaid will be addressed, including social determinants of health:

Innovative care models:

IDD, LTSS and HCBS experience:

RFP - Proposal writing experience addressing the following:

Service Coordination

Network Adequacy and Access to Care

Provider Relations

Quality

Member Services

Behavioral Health Services

LTSS and Nursing Facility Services

Disease Management Program

Utilization Management

Alternative Payment Models

Pharmacy Benefits

Travel is an essential component of this position, up to 80%

A strong understanding of the health care industry, analytical thinking skills and a strong and dedicated work ethic are required

Strong customer drive and dedication to quality and success

Detail-oriented and able to work well independently

Superior creative problem-solving, analytical and quantitative skills

Ability to visualize, identify and pursue opportunities to partner with external institutions

Excellent oral and written communication skills with an ability to share and synthesize knowledge

Ability to provide timely and effective feedback to project staff and team members

Develop external relationships and networks to support business development and professional growth

Able to work collaboratively and effectively while handling multiple projects on various timelines in an extremely fast-paced environment

Flexible with work hours, able to travel, and be able to work evenings and weekends frequently

Expertise in relevant areas that include health care financing, strategic planning, clinical integration, population health, policy, change management, performance excellence/process improvement (to include, but not limited to Lean/Six Sigma)

High level of proficiency in Microsoft Office suite (Outlook, Word, Excel, PowerPoint and Project Management)

Experience in project management or training in project/program management methodology (PMBOK), PMP certification preferred


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