US - Remote (Any location) · Remote
Full-time
Mid level
1 month ago
Verified apply link — checked 3 hours ago
Salary undisclosed
Job Family : Strategy & Transformation Consulting Travel Required : Up to 50% Clearance Required : None What You Will Do: The desired Partner, Managed Care Advisory will have the opportunity to drive significant revenue enhancement and strategic repositioning for healthcare clients. This leader will be responsible for helping organizations identify and capture millions in potential revenue through comprehensive managed care solutions, including commercial rate benchmarking and payer price transparency analytics. The role involves navigating complex contract negotiations, particularly with challenging payers, and developing strategies that can transform a client's financial performance. This leader’s impact will extend beyond immediate financial gains, potentially helping distressed healthcare organizations improve their margin and market positioning by addressing critical managed care contract challenges. The Partner, Managed Care Consulting is a senior leadership position within the Guidehouse Healthcare Practice, specifically focused on leading and driving growth for the Healthcare sector. This partner will be responsible for bringing and developing a book of business and have an oversight of ongoing project delivery solution development and management of teams across multiple concurrent client engagements across our managed care vertical. This role is critical to the success of the overall practice growth strategy, and will have responsibility for originating, closing, and managing clients, leading consulting teams, and ensuring the delivery of high-quality revenue cycle strategies and programs. This leader must be both strategic and operational, possessing deep knowledge and experience on how health systems work. They must successfully develop and execute against the vision for Managed Care services, including driving consulting projects that outline transformative initiatives to contain costs, enhance revenues, and lay out initiatives for execution across the firm for impact. Tying these initiatives to metrics and KPIs to show both revenue increases and cost containment success is crucial to the role. They must be experts in selling and delivering advisory work that assists healthcare organizations in optimizing performance, enhancing efficiency and ensuring compliance within industry regulations. This role is key in shaping and driving consulting opportunities across the entire managed care life cycle. This Partner will be key in helping build out the Managed Care practice, helping develop and mentor consultants in new methods to enhance performance improvement and drive impactful transformation initiatives leveraging the Guidehouse platform. The ideal candidate will co-lead the managed care practice that has the strong analytical staff, benchmarking and price transparency processes, as well as the reputation in the managed care place to advance the practice and work alongside highly experienced industry leaders to make meaningful change for clients served across 150+ markets. Primarily the responsibilities for this role include: Drive revenue enhancement, risk mitigation, and strategic repositioning for healthcare clients, with a focus on improving revenue and margins Manage the full managed care contracting cycle, including analytics, strategy preparation, negotiations, and post-contract implementation Develop and execute comprehensive managed care solutions, including commercial rate benchmarking, payer price transparency analytics, and contract negotiations Bring new clients to the table, with a partner-level revenue target of $8 million or higher Provide strategic insights across the healthcare ecosystem, including working with C-suite executives to transform revenue and market positioning Lead business development of advisory pursuits within the territory/market. Activities include originating new consulting opportunities, driving assessments in the front end, current v. future state performance, expanding
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