Healthcare Partner, Managed Care Consulting

We need to output HTML fragment with sections for headings where content exists. Must not repeat job title. Must not include Job ID etc. Must remove boilerplate. Must include only sections with real content. We need to parse the job posting content: It's a long description. Identify sections: "What You Will Do", "What You Will Need", "What Be Nice To Have". Also maybe "Travel Required Up to 50%" etc. Also "Clearance Required None". Also "Job Family Strategy & Transformation Consulting". But we should not repeat job title. The headings we can use: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We need to map content. We have responsibilities: many bullet-like sentences under "What You Will Do". Also "Primarily The Responsibilities For This Role Include" list. We have requirements: "What You Will Need" list. We have nice-to-have: "What Be Nice To Have" list. We have travel: "Travel up to 50% as the job requires". Also earlier "Travel Required Up to 50%". So we can include a Schedule section? Travel is not schedule but maybe we can put under Schedule? Actually Schedule heading is for work schedule (e.g., full-time, part-time). Travel is not schedule. There's no explicit schedule like full-time/part-time. So we may omit Schedule. Pay: not mentioned. Benefits: not mentioned. So we omit those. We need to include sections only when there is real specific content. So we can have About the role (maybe a summary paragraph). Responsibilities (ul). Requirements (ul). Skills? Could combine qualifications and skills. But we can put Requirements as qualifications. Or we can have Qualifications (education, experience) and Skills (specific abilities). Let's parse. From "What You Will Need": includes experience, education, skills. We can split: Qualifications: Bachelor's degree required, 15+ years experience in combination of listed areas. Skills: problem-solving, interpersonal, analytical, leadership, communication, persuasion, etc. Also "What Be Nice To Have": nice-to-have skills/experience. Thus sections: About the role (paragraph summarizing role). Responsibilities (ul). Qualifications (ul). Skills (ul). Nice-to-have (maybe as Skills? but we can have a separate section "Preferred Qualifications" but not in allowed headings. Allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. So we can put nice-to-have under Skills or Qualifications? Probably Skills. We'll include Travel info maybe under About the role or Responsibilities? Could add a note in About the role. We must not include boilerplate like EEO etc. The text includes some parentheses and weird formatting; we need to clean. Let's extract responsibilities bullet points: From "What You Will Do": paragraphs describing role. Then "Primarily The Responsibilities For This Role Include" list: - Drive revenue enhancement, risk mitigation, and strategic repositioning for healthcare clients, with a focus on improving revenue and margins - Manage the full managed care contracting cycle, including analytics, strategy preparation, negotiations, and post-contract implementation - Develop and execute comprehensive managed care solutions, including commercial rate benchmarking, payer price transparency analytics, and contract negotiations - Bring new clients to the table, with a partner-level revenue target of $8 million or higher - Provide strategic insights across the healthcare ecosystem, including working with C-suite executives to transform revenue and market positioning - Lead business development of advisory pursuits within the territory/market.Activities include originating new consulting opportunities, driving assessments in the front end, current v. future state performance, expanding and extending current advisory engagements, relationship-based selling to new clients, leading RFP responses, and representing the firm at business development-related conferences - Lead advisory and delivery teams on high-impact revenue cycle transformation client engagements within territory/market.Activities include: client relationship management, consulting delivery execution, project financial management, risk/quality management, and client satisfaction management - Build a book of business through senior client relationship management by finding, closing and delivering Managed Care growth initiatives - Manage teams consisting of consulting experts and advisory personnel to cover key accounts - Responsible for contract growth, and uncovering and assisting in originating and capturing new opportunities that land and expand revenue cycle programs with clients - Manage transaction deals sizes ranging from $500K to multi-million dollars annually with pull through to managed services that are multi year - This role will also support the Next Gen Payer-Provider healthcare horizontal joint initiatives between the managed care and the payer practice - Key to this role will be able to cross sell other guide house services to broaden accounts and exposure in the marketplace parentheses (e.g. access performance excellence, strategy digital etc)/Provide expertise and deep experience in Managed Care to evolve deal constructs, teaming opportunities, and portfolio evolution - Lead client management and growth in Managed Care by leveraging design, development, and implementation skills to advise and guide clients to best options - Interface, manage, and expand relationships with client CEOs, CFOs, CTOs and other senior executives to demonstrate how solutions set the strategy for enhancing operational efficiency, financial health, and patient care quality. - Own and build critical business and industry relationships, both internally and externally - Advise clients based on knowledge of operations best practices, industry trends, market happenings, and the newest technology innovations - Team and collaborate across the firm to drive maximum value for clients We need to keep all these as list items. Now requirements/qualifications: From "What You Will Need": - Previous executive consulting or industry leadership with Medicaid OR Medicare/Medicare Advantage (STARS and quality), accountable care organization, or patient centered medical home highly desirable - 15+ years professional experience in a combination of the following: - ACO leadership - Managed care - Health Plan or Payer leadership - Health Plan executive level contract management - IT/Data management - Quality management - Client-facing healthcare consulting role - Health policy analysis and health economics research. - Risk predication and adjustment methods, and performance-based procurement, - Quality and total cost measures of care for Federal, State, and health plans who participate in the Affordable Care Act, Medicaid, and Medicare programs. - Superb problem-solving and interpersonal skills - Demonstrated use of analytical skills that found innovative, holistic, value based strategic solutions - Demonstrated ability to lead and supervise staff in a collaborative and matrixed team environment to achieve budget and timeline goals - Ability to sell consulting and building strong client relationships at the executive level, demonstrated by persuading boards and C-suites of Government Health State Agencies, Health Plan and Payor organizations to action - Bachelor's degree from accredited school required - Demonstrated leadership achieving outcomes in healthcare consulting focused strategy and transformation projects - Proven verbal and written communication skills, including the ability to persuade senior management or - Knowledge of Medicaid managed care operational program elements including MMIS, eligibility and enrollment, captivation payments, quality performance and care coordination - Travel up to 50% as the job requires We need to separate qualifications (education, experience) and skills (problem-solving, analytical, leadership, selling, communication, etc). Travel maybe schedule? But we can put travel under About the role or maybe a separate Schedule? Travel is not schedule but could be considered schedule? The instruction says Schedule heading for schedule info. Travel is not schedule. Might be better to include travel in About the role paragraph. Now nice-to-have: From "What Be Nice To Have": - Sales and Commercial Excellence - Demonstrated experience in selling Managed Care contracts for projects that support large hospital systems and physician organizations, as well as community hospitals, academic medical centers, and mid to large-size regional healthcare providers. - Deep experience originating front end deals and getting new logos by positioning best practices, industry trends and leveraging existing relationships and developing new ones - A consulting sales leader that is constantly scouring for new opportunities, leveraging their experience and relationships in the managed care space to sell assessments and shape consulting deals for the entire Managed Care life cycle (strategy, technology, operations, etc) - A demonstrated sales record of consistent achievement of $8-10 million+ annually within Healthcare Managed Care Advisory and skills, relationships and market knowledge to build a book of business quickly - Player/Coach that drives all client facing and business development activities for selling advisory and positioning digital and managed services end to end projects. Leverages strategy, financial and operational knowledge to serve as a consulting leader to sell advisory to healthcare executives using learned experiences and best practices, the latest industry trends, regulation changes, and market movements to compel them to act. Utilize proper sales operations discipline (e.g. pipeline analytics, offering collaterals, tracking scorecards) to performance manage the team - Can coach strategy consultants on best practices for developing and growing executive client relationships - Can create a high-energy environment among the consulting team that drives enthusiasm, optimism, and a relentless focus on solving client problems, winning deals, and achieving performance metrics - Can originate opportunities, oversee sales and delivery, and engage in closing entry point projects to position land and expand opportunities across the revenue cycle continuum. - Managed Care Domain Knowledge - Deep payer strategy and advisory experience in the drivers that can enhance optimizing operations, financial health, and patient outcomes while navigating complex regulatory environments - A deep experience developing and executing negotiation strategies for provider and payer healthcare clients to improve their financial posture from both a revenue enhancement and cost containment perspective - Deep experience in either industry and/or consulting driving optimization work, including analytics around benchmarking to help inform fact-based negotiation strategy and positions - Negotiation experience from strategy through execution in the healthcare ecosystem internally and externally including partners to make improvements - Experience in CDM optimization, revenue rebalancing, managed care benchmarking, price transparency, strategic pricing, managed care strategy, contract language review and automated analytics platform for benchmarking type services will be crucial. - A deep understanding across the healthcare system environment to lay out roadmaps for broad transformations and restructuring work to sell discrete projects that satisfy strategic goals - An expert in areas such as EBITDA improvement, turnarounds, tech innovation, operating model redesign, financial performance, and foundational processes in a healthcare system. - Deep understanding of industry trends towards greater price transparency and the technology enabled solutions to support an evolving marketplace as well as other analytical advancements that impact clients - Deep strategic consulting in large scale transformations that impact operational performance and implement technology transformations and strategic planning - Experience partnering with healthcare systems, hospitals, physician organizations, and multi-site healthcare entities, reinforced by a deep knowledge of key players in the market - Ability to tailor solutions that address the unique challenges of the healthcare industry driving performance and patient outcomes - Delivery Excellence - Track record of advising clients on payer revenue and contract yield leading p (cut off). We'll ignore incomplete. We can include nice-to-have as part of Skills or maybe as a separate "Preferred Qualifications" but not allowed. We'll put them under Skills as bullet points. Now About the role: summarise: The Partner, Managed Care Advisory role drives revenue enhancement, strategic repositioning for healthcare clients, leads managed care consulting, business development, team leadership, etc. Travel up to 50%. We'll output HTML with sections:

About the role

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then

Responsibilities

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then

Qualifications

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then

Skills

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We must not repeat job title. Avoid headings like Requirements (we used Qualifications). Could also include Requirements but we have Qualifications. The instruction allows Requirements heading; we could use Requirements for experience/education and Skills for abilities. But we already have Qualifications. Let's follow allowed headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can use Requirements for experience/education, Qualifications for education? Hmm overlapping. Better to use Requirements for mandatory experience/education, Qualifications for education? Actually Qualifications often includes education