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Navigant Consulting Inc Senior Consultant, Healthcare Value Transformation LTSS - Remote Location in MITCHELL, South Dakota

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at navigant.com.

The healthcare industry is undergoing a generational shift from Fee For Service (curve 1) to Pay For Value (curve 2) payment and delivery models. Our Value Transformation (VT) practice is responsible for helping payers and providers develop go-to-market strategies and operational plans to transform their business, payment and delivery models to create high value , more sustainable, affordable and high quality services. Our team has an integrated platform of services to help our clients achieve their goals, including:

  • Clinically Integrated Networks: Market analysis, organizational design, network development, physician alignment.

  • Payment Transformation: Develop payment and funds flow distribution models that incentivize and reward high quality of care.

  • Total Medical Expense Management (TME): Implementation of care delivery models that manage care across the continuum.

Our experience includes:

  • Work in over 90 markets nationally provides us tremendous national experience and local market insight to value based care models

  • Experience with over 20 ACOs, including Pioneer ACOs and MSSPs, including managing the start-up for 6 MSSPs

  • Facilitated over 25 commercial payer/provider ACO contracts/partnerships centered on shared savings, shared risk and performance based payment

  • Assists over 150 hospitals with CMS bundling applications, implementation and performance measurement

  • Development of numerous CIN’s, including several regional / statewide organizations across multiple health systems

  • Utilize our NextGeneration analytic toolkit, with over 1B claims, to provide a wide array of analytics, modeling and reporting services for leading payers and providers to budget and manage margin and total medical cost trend Assists several large providers and payers, including Medicaid agencies, with the design and implementation planning of new payment and delivery models (e.g., ACOs, medical homes, etc.)

Our clients rely on our team for an integrated solution that drives improved performance and competitive advantages in their markets, in a way that enables senior executives to manage their business to new provider sponsored risk models. See How Far Impact Can Reach.

This role can be based in any of the following locations: Washington, DC; Atlanta, GA; Chicago, IL

We are currently seeking individuals with the desire to focus their careers towards consulting and policy analysis for government healthcare clients, with specific experience in managed long term supports and services (LTSS). We are particularly interested in candidates who have experience in the following areas:

  • Involved in case management or care planning for home and community based programs

  • Experience with state oversight of nursing homes, assisted living or developmental centers

  • Involved in Medicaid program implementation for rebalancing, money follows the person, or other LTSS initiatives (BIP, ADRC, Care Transitions)

  • Assisted in developing or administering 1915 (c)(i) waivers

  • Assisted in developing or administering managed care programs for LTSS under a 1915 (b) or 1115 waiver authority

  • Participated in stakeholder meetings or other interagency coordination exercises

  • Experience with leading or managing participant directed service offerings.

  • Experience working with or monitoring DSNPs or with the dually eligible population

  • Experience in oversight and monitoring of managed long-term care contracts.

  • Experience developing or working with quality measurement for nursing homes or HCBS programs

The successful candidate will:

  • Evaluate impact of changes in Federal policy; determine required updates to state policy

  • Assist state agencies in the design, development and implementation of healthcare delivery systems, specifically managed long term supports and services for nursing homes, home- and community-based services and dual eligibles products and services.

  • Research and stay abreast of states’ developments in Medicaid managed care programs and policies, including programs that serve particularly vulnerable populations or cover complex services

  • Perform detailed analysis of healthcare resources and data sources

  • Build models in Excel

  • Prepare Microsoft PowerPoint presentations

  • Assure quality work product of self and junior staff

  • Manage junior level staff

  • Assist with project management responsibilities

  • Provide team with written and oral summaries of research and analyses

The following minimum qualifications are required for Senior Consultant candidates:

  • A Bachelor’s or Master’s degree in health policy and administration, gerontology, public policy, public health, liberal arts , social work or business administration

  • 3-5 years of previous work experience in the healthcare industry or with a consulting firm

  • At least 2-4 years of experience working in Long Term Supports & Services Programs at the State level

Preferred:

  • Prior experience managing junior staff or managing components of a project

  • Excellent qualitative and quantitative analysis skills

  • Proficient in Microsoft Office Suite

  • Ability to conduct research through use of the internet and other information sources

  • Additional qualifications include efficiency, flexibility, creative problem solving skills, a high level of motivation and excellent analytical and organizational skills.

  • Superior written and oral communication skills

  • The ability to work overtime and travel, as necessary

  • Ability to work independently, and within team structures

  • Frequently communicates with clients and coworkers and must be able to share information effectively

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Work as a member of a team as well as be a self-motivator with ability to work independently

  • Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously

  • Able to travel via airplane with minimal assistance to client sites across the US and potentially internationally

  • Usually remains stationary for the majority of the day

  • Regularly uses close visual acuity and operates computer equipment to prepare and analyze and transmit data

The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical/dental/life insurance, 401(k) and employee stock purchase plans.

Navigant does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Navigant and Navigant will not be obligated to pay a placement fee.

Navigant is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.

Navigant will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of applicable law or ordinance including the Fair Chance Ordinance of Los Angeles and San Francisco.

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