Healthcare Consulting Sr Director – Managed Care & Payment Strategy

Huron helps its clients drive growth enhance performance and sustain leadership in the markets they serve. We help healthcare organizations build innovation capabilities and accelerate key growth initiatives enabling organizations to own the future instead of being disrupted by it. Together we empower clients to create sustainable growth optimize internal processes and deliver better consumer outcomes.

Health systems hospitals and medical clinics are under immense pressure to improve clinical outcomes and reduce the cost of providing patient care. Investing in new partnerships clinical services and technology is not enough to create meaningful and substantive change. To succeed long-term healthcare organizations must empower leaders clinicians employees affiliates and communities to build cultures that foster innovation to achieve the best outcomes for patients.

Joining the Huron team means youll help our clients evolve and adapt to the rapidly changing healthcare environment and optimize existing business operations improve clinical outcomes create a more consumer-centric healthcare experience and drive physician patient and employee engagement across the enterprise.

Join our team as the expert you are now and create your future.

As the Healthcare Consulting Senior Director - Managed Care & Payment Strategy you will:

• 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 organizations 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 Hurons capabilities to meet client objectives.

Requirements:

• Bachelors 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. (Hurons 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

Preferences:

• Masters 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

The estimated base salary range for this job is $215000 - $265000. The range represents a good faith estimate of the range that Huron reasonably expects to pay for this job at the time of the job posting. The actual salary paid to an individual will vary based on multiple factors including but not limited to specific skills or certifications years of experience market changes and required travel. This job is also eligible to participate in Hurons annual incentive compensation program which reflects Hurons pay for performance philosophy. Inclusive of annual incentive compensation opportunity the total estimated compensation range for this job is $268750 - $350750. The job is also eligible to participate in Hurons benefit plans which include medical dental and vision coverage and other wellness programs. The salary range information provided is in accordance with applicable state and local laws regarding salary transparency that are currently in effect and may be implemented in the future.

Position Level

Country