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Navigant Consulting Inc Senior Consultant - Healthcare Value Transformation Project Employee - 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.

We are currently seeking individuals interested in becoming a member of an emerging actuarial practice team. Individuals must have the desire to focus their career in healthcare actuarial services, with an emphasis on problem solving, data analysis and policy analysis for government healthcare clients.

The successful candidate will:

  • Assist state agencies in the design, development, and implementation of health care payment systems and rate setting

  • Perform detailed data analysis of large health care claims and cost report datasets

  • Perform financial analysis and modeling of proposed payment and other policy changes

  • Perform data analytics related to managed care plan quality, payment methodology, rate development, risk adjustment or other metrics related to clinical or financial measurement

  • Conduct topical research

  • Provide team with written and oral summaries of analyses

  • Manage junior level staff

  • Assist with project management responsibilities

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

  • Assure quality work product of self and junior staff

  • Be willing to spend up to 60 percent of their time performing data analytics tasks

The following minimum qualifications are required for Senior Consultant candidates:

  • A Bachelor’s degree in healthcare, business, economics or statistics related field - required; Master's degree preferred

  • 2-4+ years’ experience in consulting is preferred

  • 2-4+ years experience working on State Medicaid Managed Care programs and waiver redesign

  • Excellent quantitative analysis skills and strong data analytics background

Preferred

  • Experience using Structured Query Language (SQL), SAS, or other third generation programming language

  • Proficient in Microsoft Office Suite

  • Ability to conduct research

  • Solid written and oral communication skills

  • Ability to work overtime as necessary

  • Ability to travel as necessary

  • Ability to work independently and within team structures

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

  • 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

  • Constantly operates a computer and other office equipment to coordinate work

  • Frequently travels by airplane, train or car as necessary to perform work at another location

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

  • Generally works in an office environment

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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