USA
34 days ago
Associate Director - Clinical Solutions - Care Management/Utilization Management

Job Family:

Strategy & Transformation Consulting


Travel Required:

Up to 75%+


Clearance Required:

None

What You Will Do:

This position includes responsibilities in both leveraging and delivering quality, high-level, consulting services to clients for the Guidehouse Clinical Solutions Practice. Organizations across the health industry are seeking holistic solutions that transform every essential function in the delivery of care and other services. Guidehouse helps organizations transform their clinical operating model with virtual, digital, and automated technology, and advanced data analytics, to facilitate effective and efficient care delivery across the continuum. Our person-centered approach engages and integrates clinical and operational workstreams that touch all aspects of the care continuum. Specific responsibilities include:

 

Lead cross-continuum consulting engagements through transformational change for payer and provider organizations

Leverage existing industry relationships for sales and engagement opportunities

Manage client relationships at the C-Suite level and provide delivery at the operational level

Deliver industry expertise and management consulting services in support of client engagements

Deliver return on investment and  financial results based on initiation of processes and tactics.

Establish account management relationships with key client decision makers with 100% reference ability.

Deliver industry best practices in clinical care, care management, utilization management, throughput, and post-acute services for payers and providers.

Create client-ready deliverables

Mentor Guidehouse team members to develop skills and knowledge for payer and provider practices

Provide visible leadership within the account and the practice.


What You Will Need:

7-10 years of prior relevant consulting and/or industry experience; and 3 years of client-facing consulting experience leading complex projects to timeline and scope with an exceptional attitude

Recent experience working within a healthcare provider or payer setting, most of which is at the management level

Ability to develop and drive complex, multi-faceted, multi-site, operational change and clinical improvement programs

Clinical licensure and Bachelor’s degree from an accredited university; graduate degree preferred

Excellent financial and quantitative acumen

Experience using Microsoft office suite - primarily excel, power point, and visio

Ability and willingness to travel up to 75%


What Would Be Nice To Have:

Inpatient throughput (emergency room, care management, LOS, and post-acute setting)

Inpatient utilization review and denials management

Payer care management, utilization management and quality experience

Positive and clear interpersonal communication skills with ability to facilitate the exchange of information at all levels internally, as well as with a clients

Ability to develop and monitor performance metrics at all levels of operations

5 years of project/program management leadership of complex provider deliverables with majority of those years in larger provider systems

Knowledge and familiarity with industry IT and tech-enabled solutions

Capacity to adapt and lead others in response to changing business conditions

The annual salary range for this position is $144,400.00-$216,600.00. Compensation decisions depend on a wide range of factors, including but not limited to skill sets, experience and training, security clearances, licensure and certifications, and other business and organizational needs.


What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

Medical, Rx, Dental & Vision Insurance

Personal and Family Sick Time & Company Paid Holidays

Position may be eligible for a discretionary variable incentive bonus

Parental Leave and Adoption Assistance

401(k) Retirement Plan

Basic Life & Supplemental Life

Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

Short-Term & Long-Term Disability

Student Loan PayDown

Tuition Reimbursement, Personal Development & Learning Opportunities

Skills Development & Certifications

Employee Referral Program

Corporate Sponsored Events & Community Outreach

Emergency Back-Up Childcare Program

Mobility Stipend

About Guidehouse
Guidehouse is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.


Guidehouse will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.


If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.


Guidehouse does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Guidehouse and Guidehouse will not be obligated to pay a placement fee.

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