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Managing Consultant - Healthcare Value Transformation CMS-64 State Medicaid/Medicare Audit Servic...

Navigant Consulting Inc. Boston, MA
  • Posted: October 19, 2019
  • Full-Time

With a unique blend of large firm resources and an entrepreneurial collaborative culture, Guidehouse is where your purpose, passion, and expertise transform organizations. Guidehouse is a leading global provider of consulting services to the public and commercial markets with broad capabilities in management, technology, and risk consulting. We help clients address their toughest challenges with a focus on markets and clients facing transformational change, technology-driven innovation and significant regulatory pressure. Across a range of advisory, consulting, outsourcing, and technology/analytics services, we help clients create scalable, innovative solutions that prepare them for future growth and success. Headquartered in Washington DC, the company has more than 7,000 professionals in more than 50 locations. If you're passionately motivated to make a difference and deliver exceptional work, we invite you to learn more about your career opportunities at www.guidehouse.com
Interested in working with talented people to help develop innovative solutions to some of society's most complex and challenging problems? We are Guidehouse, a leading consulting firm serving the public sector and commercial clients with specialized capabilities in strategy, technology, and risk management. You may not yet know our name, but we have a rich history. Guidehouse is a combination of PwC's former public sector practice and Navigant's deep expertise in energy, financial services and healthcare.
We offer an exciting, fast-paced environment that fosters intellectual growth and rewards individuals based on impact, not tenure. Our firm is at the forefront of an emerging model solving complex problems that stretch across government and private companies, affording our people the opportunity to be on the cutting edge of the consulting profession. By focusing on markets facing transformational change, technology-driven innovation, and significant regulatory pressure, our employees also develop and deploy world class knowledge and problem solving that leads to breakthrough solutions.
Our healthcare segment is comprised of consultants, former provider administrators, clinicians, and other experts with decades of strategy, operational/clinical consulting, managed care services, digital health, revenue cycle management, and outsourcing experience. Professionals collaborate with hospitals and health systems, physician enterprises, payers, government, and life sciences entities, providing performance improvement and business process management solutions that help them meet quality and financial goals. You will make an immediate impact from day one, working with a team to provide end-to-end solutions. We don't simply put band-aids on our client's issues, we are working side-by-side with them. Are up for the challenge?
**This role can be based in any of the following locations: Atlanta, GA; Austin, TX; Boston, MA; Chicago, IL; Dallas, TX; Denver, CO; Indianapolis, IN; Los Angeles, CA; Minneapolis, MN; New York, NY; Philadelphia, PA; Phoenix, AZ; Princeton, NJ; San Francisco, CA; Seattle, WA; Tampa, FL; Washington, DC.**
Managing Consultants own client engagements from cultivation to completion. In this role, you will be accountable for the activities of the project team and support the day-to-day management of the client relationship. You are expected to effectively develop and manage work plans, staffing, deadlines and budgets for multiple complex projects simultaneously. Work products are expected to be high-quality and client-ready. In this visible role, you will lead team meetings, and guide, manage, and coach consultants and senior consultants, providing constructive feedback on project participation and overall career development. Managing Consultants work closely with Directors and Managing Directors to keep them abreast of project progress and important developments. Managing Consultants support sales initiatives and practice development.
We encourage career development and hiring for the long term. As a Managing Consultant, you will follow a clearly defined career path and continue to develop your project management and client relationship skills. As you are ready drive strategic solutions across multiple complex workstreams and become more involved in business development, you will have the opportunity to progress to the Associate Director level.
**Required:**
+ BA/BS degree in Health Policy, Economics, Finance, Data Science or other Healthcare/Science/Finance related disciplines, Master's degree preferred
+ 5+years of experience working on hospital-based financing for Medicaid payments (IGT, CPE, CMS-64, DSH assessments, etc.)
+ 5+ years of previous work experience in the health care industry or with a consulting firm
+ 5+ years of experience working with Medicaid/Medicare or other health care claims data
+ 5+ years of experience working in a variety of State Medicaid Programs (Rate Setting, CMS 64, cost reporting, UPL, DSH, other payment initiatives)
+ 5+ years of experience preparing deliverables for healthcare payment and pricing projects, payment incentive models, hospital payment adequacy analyses, federal compliance for Medicaid programs, and federal revenue enhancement programs
+ 5+ years of experience using the CMS-2552-10, Medicare acuity, and Medicaid quality scores in assessing hospital performance and hospital reimbursement through Medicaid
+ Must have 5+ years of federal reporting experience in Medicaid
+ Ability to work overtime and travel, as necessary
+ Frequently communicates with clients and coworkers and must be able to share information effectively
+ Strong conceptual, as well as quantitative and qualitative analytical skills
+ Work as a member of a team as well as be a self-motivator with ability to work independently
+ Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously
+ Able to travel via airplane with minimal assistance to client sites across the US and potentially internationally
+ Usually remains stationary for the majority of the day
+ Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data
**A** **dditional Requirements**
+ This position requires successful completion of a background check and employment verification.
+ The successful candidate must not be subject to employment restrictions from a former employer (such as a non-compete) that would prevent the candidate from performing the job responsibilities as described.
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._**
**Rewards and Benefits**
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
+ Parental Leave and Adoption Assistance
+ 401(k) Retirement Plan
+ Student Loan Paydown
+ Basic Life & Supplemental Life
+ Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
+ Short-Term & Long-Term Disability
+ Tuition Reimbursement, Personal Development & Learning Opportunities
+ Skills Development & Certifications
+ Employee Referral Program
+ Corporate Sponsored Events & Community Outreach
+ Emergency Back-Up Childcare Program

Navigant Consulting Inc.

Address

Boston, MA
02133 USA

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