Business Consulting - Transformation Arch - Health Care Operations - Manager - Mult Pos - 1606974

Business Consulting – Transformation Architecture (Health Care Operations) (Manager) (Multiple Positions) (1606974), Ernst & Young U.S. LLP, Los Angeles, CA. 

Provide business consulting services to help clients in the healthcare industry improve payer (Health Plan) operations. Generate standard or custom reports summarizing business, financial, or economic data for review by health plan executives, functional leaders, health care providers, executives, physicians, clinicians, and staff. Synthesize current business intelligence or trend data to support recommendations for action. Work collaboratively with health plan executives, functional leaders, health care providers, executives, physicians, clinicians, and staff to assess, design, and implement Business Performance Management, Analytics Enablement, Process Improvement, Cost reduction, Technology Implementation, and/or Enterprise Transformation that help health plan clients in the healthcare industry define and plan effective execution of their strategic direction and vision.  Collaborate with payer teams and work with a broad spectrum of not-for-profit and for-profit healthcare clients, including healthcare systems, HMOs and health insurance companies.  Assist in generating revenue within existing healthcare clients and in developing new prospects at the “C” and executive level of large healthcare companies. Advise clients on maintaining or updating business intelligence tools, databases, dashboards, systems, business processes or methods that enable sustainable and measurable improvements. Develop process flows depicting pain points in the business process, conduct detailed analyses to draw conclusions, and develop recommendations for improvement. Assist clients with planning, budgeting, forecasting, performance measuring, and reporting services. Advise clients on resource utilization, and the assumptions underlying budget forecasts. Analyze business operations, trends, costs, revenues, financial commitments, and obligations to project future revenues and expenses.  
 
Manage and motivate teams with diverse skills and backgrounds. Consistently deliver quality client services by monitoring progress. Demonstrate in-depth technical capabilities and professional knowledge.  Maintain long-term client relationships and networks. Cultivate business development opportunities.

Full time employment, Monday – Friday, 40 hours per week, 8:30 am – 5:30 pm. 

MINIMUM REQUIREMENTS:

Must have a Bachelor’s degree in Business, Finance, Accounting, Engineering, Information Technology, Computer Science, Health Care Administration, Health Sciences, Medical Informatics, Nursing or a related field and 5 years of progressive, post-baccalaureate related work experience. Alternatively, will accept a Master’s degree in Business, Finance, Accounting, Engineering, Information Technology, Computer Science, Health Care Administration, Health Sciences, Medical Informatics, Nursing or a related field and 4 years of related work experience.  
 
Must have 4 years of in one or any combination of healthcare industry experience and/or experience in providing advisory and/or consulting services to clients in the health care industry. 
 
Must have 4 years of experience in at least one of the following: 
- health plan core operations (including account install and member enrollment, billing, claims or call center management, grievances and appeal); 
- network management/provider relations; 
- medical management; 
- sales management; OR 
- finance. 
 
Must have at least 2 years of experience in ALL of the following: 
- Engagement planning, budgeting, and work plan development;  
- Mobilizing and managing engagement teams;  
- Defining deliverable structures and content;  
- Facilitating buy-in of proposed solutions from top management levels at the client;  
- Managing the quality delivery of work products;  
- Managing engagement economics and engagement risk;  
- MS Office suite, including Word, Excel, PowerPoint and Visio; and 
- Project Management, including experience with MS Project.  
 
Must have 2 years of experience in designing, developing, and implementing data driven solutions for the health care industry, including in one or a combination of any of the following: computerized health care provider systems, managed care payer systems, and/or health information management systems.  
 
Must have 2 years of experience in one or a combination of the following: managing teams of industry and/or consulting professionals. 
 
Requires travel up to 80%, of which 20% may be international to serve client needs.  
 
Employer will accept any suitable combination of education, training or experience.

Please apply on-line at ey.com/en_us/careers and click on "Careers - Job Search”, then “Search Jobs" (Job Number - 1606974).