US Business Transformation - Health & Wellness_Payer Provider Operations_Manager_Consulting

#HealthConsulting

Today’s healthcare environment is undergoing rapid change and transformation. The market is being impacted by changing regulations, new payment structures, increasing reliance on technology, and a move towards population health. As a Manager within our Health consulting practice, you’ll work with clients across the healthcare industry, from hospitals and integrated delivery networks to commercial and governmental insurers. You’ll use your industry knowledge and relationship skillsets to assist our clients in delivering services efficiently and effectively. 

The opportunity 

As part of EY’s Health consulting practice, you will work with these clients across the country in solving complex problems in today’s rapidly changing healthcare environment.  We currently are seeking a highly motivated Manager, with a focus on payer operations, to manage client engagement teams, work with a wide variety of clients to deliver professional services and manage business development activities on strategic and global priority accounts. 

Your key responsibilities 

You’ll spend most of your time teaming with our payer team working with a broad spectrum of not-for-profit and for-profit healthcare clients, including healthcare systems, HMOs and health insurance companies. 

As a Manager in our Health consulting group focused on Payer Operations, you’ll work with clients across the following areas: 

• Business Performance Management 

• Analytics Enablement 

• Process Improvement 

• Cost reduction 

• Technology Implementation 

• Enterprise Transformation 

Skills and attributes for success 

• Effectively manage and motivate client engagement teams with diverse skills and backgrounds Foster an innovative and inclusive team -oriented work environment. Play an active role in counselling and mentoring junior consultants within the organization 

• Foster relationships with client personnel at appropriate levels. Consistently deliver quality client services. Drive high-quality work products within expected timeframes and on budget. Monitor progress, manage risk and ensure key stakeholders are kept informed about progress and expected outcomes 

• Cultivate and manage business development opportunities. Understand EY and its service lines and actively assess/present ways to serve clients. Develop and maintain long-term client relationships and networks 

• Demonstrate in-depth technical capabilities and professional knowledge 

To qualify for the role you must have 

• A bachelor's degree and approximately 5 years of related work experience; or a graduate degree and approximately 4 years of related work experience 

• Approximately 4 years of health plan operations experience as a manager (or above) in a consulting firm or in a manager role at a health plan 

• Experience in one of the following areas is required: health plan operations (including claims or call center management), network management/provider relations, medical management, sales management or finance 

• Ability to assist in generating revenue within existing healthcare clients and in developing new prospects at the “C” level of large healthcare companies 

• Ability to manage a team of staff/senior consulting professionals 

• Ability to work collaboratively in a team environment (knows when to lead and when to follow) 

• Strong analytical and problem-solving skills 

• Excellent oral and written communication skills and a strong work ethic 

• A willingness to travel to meet client needs; travel is estimated at 80% 

Ideally you’ll also have 

• A degree with an emphasis in Finance, Accounting, and/or Business; CPA, MBA, MHA and/or MPH 

• Knowledge and experience with managed care payer systems such as FACETS 

What we look for 

We’re interested in passionate leaders with strong vision and a desire to stay on top of trends in the healthcare industry. If you have a genuine passion for healthcare, this role is for you. 

• Continuous learning: You’ll develop the mindset and skills to navigate whatever comes next.
• Success as defined by you: We’ll provide the tools and flexibility, so you can make a meaningful impact, your way.
• Transformative leadership: We’ll give you the insights, coaching and confidence to be the leader the world needs.
• Diverse and inclusive culture: You’ll be embraced for who you are and empowered to use your voice to help others find theirs.