Specialist - Payors

You’ll work with McKinsey’s Healthcare Access, Quality and Outcomes improvement (HALO) domain as part of our Social Sector, Healthcare & Public Sector Entities (SHaPE) practice in one of our offices in North America.

Responsibilities

• Deliver high-quality outputs to help guide decisions on critical business problems for our clients.
• Identify potential opportunity areas in medical / administrative / pharmacy costs.
• Develop tactical programs and implementation plans to support execution of strategies and initiatives.
• Engage with front-line client teams involved in improving the quality and cost of healthcare.
• Take ownership of tenure-appropriate client relationships and guide clients through appropriate syndication discussions.
• Participate in problem-solving sessions with clients and McKinsey leadership.
• Create new knowledge, assets, and capabilities for the payor practice in partnership with HALO leadership.

Requirements

• Bachelor's degree, advanced degree preferred
• 5+ years of relevant experience, including experience with at least one of the following areas: Payment Integrity including Fraud, Waste & Abuse; Medical & Pharmacy Cost Optimization; Network optimization; Administration & Operational Efficiency; Care Management; Risk Adjustment
• Understanding of the healthcare ecosystem, particularly payors; knowledge of medical or administrative cost optimization is a plus
• Strong problem-solving skills with the ability to process complex information
• High level of entrepreneurship, professionalism and presence to succeed on the ground with clients
• Client service mindset
• Able to provide leadership over, and influence individuals across, multiple stakeholders from different levels and backgrounds by tailoring approach
• Ability to be a strong team player in a dynamic and changing environment
• Knowledge of automation or other AI is a plus
• Able to travel to and work in varying environments that may be challenging and/or not accessible