Navigant Consulting Inc Managing Consultant - Healthcare Value Transformation- Government Project Employee- Multiple Locations in Chicago, Illinois

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

The healthcare industry is undergoing a generational shift from Fee For Service (curve 1) to Pay For Value (curve 2) payment and delivery models. Our Value Transformation (VT) practice is responsible for helping payers and providers develop go-to-market strategies and operational plans to transform their business, payment and delivery models to create high value , more sustainable, affordable and high quality services. Our team has an integrated platform of services to help our clients achieve their goals, including:

  • Clinically Integrated Networks: Market analysis, organizational design, network development, physician alignment.

  • Payment Transformation: Develop payment and funds flow distribution models that incentivize and reward high quality of care.

  • Total Medical Expense Management (TME): Implementation of care delivery models that manage care across the continuum.

Our experience includes:

  • Work in over 90 markets nationally provides us tremendous national experience and local market insight to value based care models

  • Experience with over 20 ACOs, including Pioneer ACOs and MSSPs, including managing the start-up for 6 MSSPs

  • Facilitated over 25 commercial payer/provider ACO contracts/partnerships centered on shared savings, shared risk and performance based payment

  • Assists over 150 hospitals with CMS bundling applications, implementation and performance measurement

  • Development of numerous CIN’s, including several regional / statewide organizations across multiple health systems

  • Utilize our NextGeneration analytic toolkit, with over 1B claims, to provide a wide array of analytics, modeling and reporting services for leading payers and providers to budget and manage margin and total medical cost trend Assists several large providers and payers, including Medicaid agencies, with the design and implementation planning of new payment and delivery models (e.g., ACOs, medical homes, etc.)

Our clients rely on our team for an integrated solution that drives improved performance and competitive advantages in their markets, in a way that enables senior executives to manage their business to new provider sponsored risk models. See How Far Impact Can Reach.

This role can be based in any of the following locations: Chicago, IL; Atlanta, GA; Washington, DC; Minneapolis, MN; Seattle, WA

Responsibilities:

  • Provide project management leadership and supervision on short and long-term client engagements

  • Conduct analysis and develop payer specific and/or managed care strategies

  • Design and implement a variety of payment methodologies such as fee for service, pay for performance, capitation, bundled payments, global budgets and other emerging models

  • Specific superior skill in federal reporting work

  • Provide multi-stakeholder facilitation services in a variety of healthcare subject matter areas

  • Participate in business development initiatives that include targeting external clients, attending industry conferences, and speaking engagements

  • Training, mentoring and development of Consultants and Senior Consultants

  • Responsible for engagement planning and management

  • Prepare client communications, both written and oral, for senior level review

  • At least four years of experience in a healthcare consulting environment or relevant public sector position with specific school-based Medicaid program expertise

  • Five (5) years of successive, progressive responsibility in addressing Medicaid reimbursement and building models to support including: upper payment limits (UPL) demonstrations, supplemental payment and disproportionate share payment calculations, and state share funding

  • Three (3) years of successive, progressive responsibility supporting institutional, non-institutional and federal reporting consulting services including: CMS 64 reporting preparation, PMS reconciliations and Medicaid administrative claiming

  • Bachelor’s degree from an accredited college/university required

  • Master’s degree in Business Administration, Health Care Administration or closely related field preferred

  • Strong facilitation and presentation skills; demonstrated structured facilitation or mediation skills preferred

  • Strong project management skills in monitoring billing of hours, training and development, and providing supervision

  • Well-developed written and verbal communication skills, including ability to positively interact with mid and senior level public sector officials (Medicaid preferred)

  • Ability to manage multiple projects and meet timely deadlines

  • Ability to travel

  • Proximity to one of our four GHS offices (Seattle preferred)

  • Candidates must be able to work independently, and within team structures

  • Frequently communicates with clients and coworkers and must be able to share information effectively

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously

  • Self-motivator with ability to work independently

  • Plan, direct, and coordinate work activities of others

  • Frequently travels by airplane, train or car as necessary to perform work at another location

The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical/dental/life insurance, 401(k) and employee stock purchase plans.

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

Navigant 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.

Navigant 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.