Health Care Consultant Director

COPE Health Solutions - New York, NY4.1

Full-time | ContractEstimated: $100,000 - $140,000 a year
EducationSkillsBenefits
The Director, Health Care Consulting will work closely with the leadership as appropriate to help lead the development of consulting and business development opportunities, management of engagements (with a focus on leading clients through the process of enhancing clinical integration), establishing population health and restructuring financial alignment toward the accomplishment of the triple aim. The Director, Health Care Consulting will specifically focus on and be responsible for the following areas:
Support consulting business development including the development of targeted sales strategies and market research for penetration within California, the Southwestern and the Northeastern U.S.
Help develop value-add consulting services and products for hospitals, health plans and mid- to large-size physician organizations
Support the Vice Presidents in developing, implementing and maintaining consulting engagement standards and training for the consulting division, including provision of technical quality assurance for engagement deliverables
Help cross-sell consulting services in tandem with the Health Care Talent Innovations team for their client base
The Director, Health Care Consulting must be willing to travel up to 80% and support our business in New York, California, Texas and other assigned locations. They must be able to effectively manage business development, major engagements, projects and team members while maintaining excellent client rapport.

Position Description:
Give support to all assigned aspects of consulting engagements and other assigned contracts and projects from scope definition to delivery, assuming ultimate responsibility for contract deliverables, project resourcing and budget management
Assist in the creation of proposals for business development in collaboration with organization leadership and team members
Build and manage relationships with key executives and staff at client sites to ensure the success of the engagement(s), including maintenance of engagement through communication and project management/coordination with assigned clients and stakeholders
Assist with the development of a market research and sales strategy for health plans, healthy systems and major medical groups in the U.S.
Develop, update and disseminate knowledge documents related to areas of expertise, such as organizational excellence, revenue cycle, strategic planning and clinical integration
Develop peer-reviewed articles, sales materials, case studies, internal curricula and trainings
Represent the company, and client(s) as appropriate, at various professional networking, public relations, business development and fundraising events
Provide excellent internal and external customer service
Ensure compliance with all local, state and federal regulations and ethical standards, as well as COPE Health Solutions employee expectations
Serve as a mentor to team members throughout the company

Qualifications:
7-10 years of consulting experience with at least 3 of those years spent in a manager or subject matter expert role
Advanced degree in an applicable field (MBA, MPH, MHA) required
Must be able to work collaboratively and effectively while handling multiple projects on various timelines in an extremely fast-paced environment
Expertise in relevant areas that include health care financing, strategic planning, clinical integration, population health, policy, change management, performance excellence/process improvement (to include, but not limited to Lean/Six Sigma)
High level of proficiency in Microsoft Office suite (Outlook, Word, Excel, PowerPoint and Project Management)
Experience in project management or training in project/program management methodology (PMBOK), PMP certification preferred
Prior experience in at least two of the following areas strongly preferred:
Network Development

7-10 years of Network Development experience
Experienced in building networks for payers, ACOs, IPAs and health systems
Development of provider criteria, performance management
Deep experience particularly in Medicaid/Medicare
Understands regulatory requirements for network adequacy, narrow networks, referrals management
Abilty to travel and be able to work w/ team in NYC.
Care Management

7-10 years of Managed Care Contracting experience
Experience in IPAs, ACOs, clinically integrated health systems
Deep experience particularly in Medicaid/Medicare
Risk based payor and provider contracting
Developed and managed contracting and financial models for voluntary and employed physicians
Develop physician compensation plans, incentive structures, benchmarking
Ability to travel and be able to work w/ team in NYC
Clinical Redesign

7-10 years of Clinical Redesign experience
RN/Nursing background is a plus
Experience in strategy and implementation of population health and clinical redesign for primary care, specialty care, practice transformation
Examples of work would include: ED triage strategies, specialty care redesign, e-consult, disease management, referrals management
Worked within IPAs, ACO, population health vendors that have done implementation, ie Lumeris, Evolent, Conifer
Deep experience in Medicaid and Medicare
Behavioral Health

7-10 years of Integrated Care - Behavioral health (substance use, physical health and APM) Program Development and Operations:

Medicaid Managed Care or Advantage:
How to address APM and how the priority needs of TX Medicaid will be addressed, including social determinants of health:

Innovative care models:IDD, LTSS and HCBS experience:RFP - Proposal writing experience addressing the following:
Service Coordination
Network Adequacy and Access to Care
Provider Relations
Quality
Member Services
Behavioral Health Services
LTSS and Nursing Facility Services
Disease Management Program
Utilization Management
Alternative Payment Models
Pharmacy Benefits
Travel is an essential component of this position, up to 80%
A strong understanding of the health care industry, analytical thinking skills and a strong and dedicated work ethic are required
Strong customer drive and dedication to quality and success
Detail-oriented and able to work well independently
Superior creative problem-solving, analytical and quantitative skills
Ability to visualize, identify and pursue opportunities to partner with external institutions
Excellent oral and written communication skills with an ability to share and synthesize knowledge
Ability to provide timely and effective feedback to project staff and team members
Develop external relationships and networks to support business development and professional growth
Flexible with work hours, able to travel and be able to work on evenings and weekends frequently

Benefits:
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 system and payor clients and provides them with the tools, services and advice they need to be leaders in the health care industry. We are passionate about health care, with roots as a non-profit organization dedicated to providing health education to the underprivileged and underinsured. Today, we are the partner of choice for providers and payors across the United States who are committed to success in the new value-based payment environment. We also develop the diverse talent needed to fill future health care roles.

COPE Health Solutions maintains corporate offices in downtown Los Angeles and midtown Manhattan with teams across the country in major markets including Texas, the Northwest, Florida and the Northeast. Our firm currently has over 100 employees partnering with health systems and health plans across several states and enrolls over 4,000 students annually in our educational programs, with a growing national and global presence. COPE Health Solutions has a proven track record in all aspects of strategy, population health management, Medicare/Medicaid transformation and workforce training across the continuum.

To Apply:
To apply for this position, or to view all available positions, visit us at https://copehealthsolutions.com/careers/open-positions/.