Healthcare Partner, Managed Care Consulting
Core
Senior leadership role driving revenue enhancement, strategic repositioning, and managed care solutions for healthcare clients, including commercial rate benchmarking and payer price transparency analytics.
Role type
Senior IC strategy & transformation consulting partner (managed care)
Builds
High-impact revenue cycle transformation programs and advisory engagements for healthcare organizations
Domain
Healthcare (Managed Care, Payer-Provider, Medicare/Medicaid)
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Managed care contracting, commercial rate benchmarking, payer price transparency analytics, contract negotiation, business development, team leadership, C-suite executive management, strategic planning, financial performance optimization, regulatory compliance
Preferred skills
Medicaid/Medicare Advantage (STARS) expertise, accountable care organization leadership, patient centered medical home experience, sales and commercial excellence, pipeline analytics, operating model redesign
Technologies
MMIS, automated analytics platforms, digital solutions
Responsibilities
Drive revenue enhancement and strategic repositioning for healthcare clients; Manage the full managed care contracting cycle including analytics, strategy, negotiations, and implementation; Bring new clients to the table with a partner-level revenue target of $8 million or higher; Lead business development of advisory pursuits within the territory; Lead advisory and delivery teams on high-impact revenue cycle transformation client engagements; Build a book of business through senior client relationship management; Manage transaction deals sizes ranging from $500K to multi-million dollars annually; Interface with client CEOs, CFOs, CTOs and other senior executives; Own and build critical business and industry relationships internally and externally
Seniority
Principal, strategy & mentorship