Lead Director – Medicare Business Consulting

Lead Director – Medicare Business Consulting

Requirements

• 7 years of experience with several of the following methodologies: management consulting, project consulting, business process consulting, financial strategic analysis, mergers and acquisitions, strategic business planning, and/or risk management consulting.
• Experience with enterprise-wide and/or cross-functional large-scale initiatives with high degree of complexity.
• Working knowledge of Medicare and Medicare Advantage
• Experience leading business process, project management and organizational redesign.
• Demonstrated leadership with relevant initiatives: Business process, enterprise business project management/consulting, financial strategic planning and analysis, mergers and acquisitions, strategic planning, risk management.
• Demonstrated relationship management skills at the senior level; capacity to quickly build and maintain credible relationships at varying levels of the organization simultaneously.
• Proficient with the use of Excel, Tableau, MS Word, PowerPoint.

Responsibilities

• Manage business processes
• Actively influence local market performance but help to shape and drive the markets bid strategy.
• An analyst of Medicare business performance, meaning that the role is expected to review both financial and medical economic information on their own.
• Self-guiding individual that can point to issues that need to be addressed and focused on.
• Communicate focus activities on diagnosis i.e. unit cost / utilization / provider collab / revenue management.
• Drive execution of pricing commitments and corrective action plans
• Create a metrics driven management process that allows the segment to understand measured performance to deliver on the strategic objectives, cost containment activity, growth objectives, and new initiatives to identify and pursue opportunities for further alignment across the Medicare Advantage market and segment leadership teams.
• A liaison between senior management and local market leaders.
• Lead process Improvement opportunities relating to Medicare Advantage
• Manage process for identification of areas to prioritize for performance improvement.
• Establish targets and brings segment/product priorities to the market for local execution.
• Supports Local Market General Manager
• Develop a project management framework for driving accountability.
• Develops monthly Quick Strike agenda and facilitate meeting and follow-ups.
• Manage processes such as pricing commitments, market visits, deep dives, performance/ scorecard and takeaways that align to execution of Strategy Identifying, prioritizing and driving alignment opportunities across markets.
• Enables operating model for partnership with local General Managers, Director of Operations, CFOs, Medical Directors, Network Managers, Medical Economics, and Pricing Actuaries.

Preferred Qualifications

No preferred qualifications provided.