Consulting Director – Healthcare Economics

This is a fully remote position, open to applicants in Illinois.

📋 Description

• Provide advice to healthcare executives regarding managed care strategies, value-based care transformation, reimbursement optimization, and financial performance between payers and providers.

• Oversee healthcare economics analyses and financial modeling to evaluate contract performance, risk exposure, reimbursement sufficiency, and opportunities for value-based incentives.

• Ensure client engagement success through executive advisory services, strategic recommendations, thought leadership, and business development initiatives.

• Manage and guide teams in intricate performance improvement projects while guaranteeing successful client results.

• Utilize analytical and critical thinking skills to quantify advantages, recognize risks, and formulate performance enhancement solutions.

• Engage with clients to comprehend their challenges, craft tailored solutions, manage expectations, and present proposals.

• Cultivate strong relationships and spearhead change processes in complex settings.

• Collaborate with Huron and client senior leaders to design and execute intricate, sustainable solutions.

• Promote lasting client relationships, networking, ongoing business development, and sales opportunities.

⛳️ Requirements

• A bachelor's degree is required in Healthcare Administration, Finance, Economics, Actuarial Science, Public Health, Business, or a related discipline.

• At least 8 years of consulting and/or performance improvement experience in healthcare, with a focus on healthcare economics, managed care, value-based care, provider reimbursement, and payer strategy.

• Experience in evaluating and advising clients on managed care contract performance, encompassing contract profitability, reimbursement sufficiency, risk-sharing arrangements, quality incentive programs, and network optimization strategies.

• Proven experience in leading complex healthcare analytics and modeling projects, including HCC risk adjustment, RAF optimization, clinical risk stratification, cost trend analysis, utilization management, and population health management.

• Capability to convert intricate financial, actuarial, and healthcare economics concepts into actionable insights for executive leadership, clinical stakeholders, and payer organizations.

• Demonstrated success in leading cross-functional teams, managing client engagements, nurturing executive-level relationships, and driving strategic transformation efforts in complex healthcare environments.

• Willingness to travel based on client, enterprise, or project requirements.

• Proficiency in Microsoft Office (Word, PowerPoint, Excel).

• US Work Authorization is required.

• A master’s degree is preferred.

• Experience in a matrixed organization or cross-functional team setting is preferred.

🏝️ Benefits

• Participation in an annual incentive compensation program.

• Medical insurance coverage.

• Dental insurance coverage.

• Vision insurance coverage.

• Access to wellness programs.

• Travel requirements averaging less than 50% annually (current average for the Healthcare practice).