Clinical Health Care Consultant Manager/Director
The Director will work closely with firm leadership to manage and support consulting engagements and business development opportunities. Project scopes may focus on care management clinical redesign and behavioral health. The Director must be able to effectively manage major engagements, business development projects and team members while maintaining excellent client rapport and developing value-add content to support client engagements. The successful candidate must have in-depth knowledge of the health care environment and market issues at the federal, state and local level.
Position Description:
- Help develop value-add consulting services and products for hospitals, health plans and mid-to large-size physician organizations
- Manage all assigned aspects of consulting engagements and other assigned contracts and projects from scope definition to delivery, assuming ultimate responsibility for the successful completion of contract deliverables, project resourcing and budget management
- Support development, implementation and maintenance of consulting engagement standards, including technical quality assurance
- Build and manage relationships with key executives and staff at client sites to ensure the success of the engagement(s) and account growth
- Achieve assigned revenue target for Director level, through a combination of new client lead sales and expanded business with current clients
- Responsible for maintenance of quality and risk mitigation standards and plan for account in coordination with senior account leadership, including assessing the effectiveness of strategies deployed
- Develop internal strategic initiatives and propose solutions, teams and resource needs. Lead implementation of proposed recommendations
- Support the professional development and growth of direct reports and team members in line with the values and culture of the organization; serve as a leader/mentor to generate a vision, establish direction, motivate team members, create an atmosphere of trust
- Support business development initiatives at the Director level, including representing the company, and client(s) as appropriate, at various professional networking, public relations and business development events, and developing peer-reviewed articles, sales materials, case studies, internal curricula and trainings
- Ensure compliance with all local, state and federal regulations and ethical standards
Qualifications:
- RN, MSW, LPN, APN or other clinical credentials preferred
- 5 – 10 years of experience in consulting and/or related operations in a health care setting
- Prior experience in at least two of the following areas strongly preferred:
- Population health management within value based payment models
- Quality assurance and performance improvement
- Regulatory compliance (Medicare, Special Needs Plans, Medicaid, etc.)
- Health plan accreditation (NCQA, URAC, etc.)
- Care model redesign for providers and payers
- Care Management / Medical Management Care Models
- SDOH and Community based organization (CBO) integration
- Other clinically-related operations in MSOs, ACOs, IPAs, Medicare Direct Contracting, Clinically Integrated Networks, Centers of Excellence, health plans and other clinical settings
- Behavioral Health care models
- Strong communication and interpersonal skills; experience in managing senior key stakeholder relationships
- A strong understanding of the health care industry and its current trajectory
- High level of proficiency in Excel and other Microsoft Office programs
- Skills related to effective project management, including strong work ethic, attention to detail, time management, ability to prioritize, problem solving, flexibility and willingness to learn
- Open to traveling up to 80% (e.g., Monday – Thursday)
- Flexibility to work evenings and weekends as necessary
- Ability to work effectively on multiple projects with a team in a fast-paced environment
As a firm passionate about health care, we’re deeply committed to the health and wellness of our own team members. We offer comprehensive, affordable insurance plans for our team and their families, and a host of other unique benefits, such as a yearly stipend for wellness-related activities, gym reimbursements and a paid parental leave program. You can learn more about our benefits offerings here: https://copehealthsolutions.com/careers/why-cope-health-solutions/ .
What We Do:
COPE Health Solutions is a national mission-driven consulting firm that partners with health systems and payor clients. We provide our clients with the tools, services and advice they need to thrive in the current complex and uncertain pluralistic payment environment and achieve visionary, organizationally relevant results. Our firm has expertise in all aspects of population health, strategy, delivery system development, payment systems reform, workforce development and population health management support services, including peerless analytics and performance improvement. We are driven by our passion to help transform health care delivery, align financial incentives to support population health management and build the workforce needed as health care moves to value-based care.
Our multidisciplinary team of health care experts provides our clients with the experience, capabilities, and tools needed to plan for, design, implement and support both the development and execution of strategy and developing solutions to some of the industry’s most complex problems. We partner with our clients through aligned mission and financial incentives to pursue performance excellence in a challenging and rapidly evolving health care environment.
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