Description

The Healthcare Strategy Consultant provides data-based strategic direction to identify and address business issues and opportunities.

Provides business intelligence and strategic planning support for business segments or the company at large.

Responsibilities

Humana, a Fortune 60 Healthcare Company

Humana is a publicly traded, Fortune 60 health benefits company with a long history of successful innovation and reinvention.

It has transformed itself from the largest US nursing home company in the ’60s, to the largest US hospital corporation in the ’80s, to a leading health benefits company beginning in the ’90s.

Today, Humana is a leader in consumer-focused health solutions and is one of the largest health benefits organizations in the country.

Role Overview : Healthcare Strategy Consultant

The Healthcare Strategy team supports Humana’s Retail business segment, which is comprised of the company’s Medicare and Medicaid businesses.

Retail is Humana’s largest business segment, comprising over 80% of the company’s total revenue and the majority of its earnings.

Team members partner with the senior leaders of the Retail business segment, and more broadly with leaders throughout the enterprise, as they deliver strategy projects addressing some of the businesses’ most important opportunities and challenges.

These high profile strategy projects place the small team at the forefront of helping to define the future of Humana’s largest businesses.

Humana is seeking a Consultant who will work with fellow team members to identify solutions and recommendations to high level strategic challenges prioritized by the Retail leadership team.

You’ll deconstruct issues and challenges, conduct targeted research and analysis, and craft sound, logical solutions and recommendations.

You will also help to identify implementation considerations for recommendations, and help to transition analysis into execution by business owners.

While doing so, you’ll have the opportunity to collaborate with fellow team members, subject matter experts, members of Humana’s executive Management Team, and corporate, functional, and business segment leaders.

Recent projects include a strategy refresh for one of the largest Medicare Advantage markets in the US, developing a competitive strategy for one of the fastest growing Medicare products, and identifying performance improvement opportunities for a key business division.

Key responsibilities include :

Managing analysis and / or work streams within high-profile, high-impact strategy projects

Leading interviews and working sessions with leaders within Retail and across the company

Conducting industry, market, competitor, and financial analysis and identifying insights for Humana

Creating high quality analysis and sections of deliverables that clearly frame objectives, issues, and challenges, and articulate insightful findings and recommendations

Working collaboratively with fellow team members and leaders across the company

Required Qualifications

Bachelor’s Degree with a strong record of academic achievement

2+ years of full-time work experience in strategy consulting, investment banking, or corporate / business unit strategy

Strong problem solving skills and demonstrated ability to perform complex quantitative and qualitative analysis

Strong record of leadership in a work setting and in extracurricular activities

Excellent verbal and written communication abilities

Highly collaborative, flexible, teamwork oriented working style

Strong commitment to personal and professional growth

Preferred Qualifications

Finance, accounting, engineering, business, economics, or technically focused undergraduate major

Managed care and / or healthcare services work experience

Additional Information

Flexibility with work location; options include :

Humana’s New York office in Midtown Manhattan

Humana’s headquarters in Louisville, Kentucky

Remote, with majority of work conducted on Eastern time

Work-At-Home Requirements

Must have the ability to provide a high speed DSL or cable modem for a home office. Associates or contractors who live and work from home in the state of California will be provided payment for their internet expense.

A minimum standard speed for optimal performance of 25x10 (25mpbs download x 10mpbs upload) is required.

Satellite and Wireless Internet service is NOT allowed for this role.

A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

LI-WG1

LI-Remote

Scheduled Weekly Hours

The Recruitment Speacialist responsibilities include using various channels to look for potential candidates, contacting passive candidates and building talent pipelines for future hiring needs.

If you have solid networking skills, know how to source on social media and enjoy learning about different roles, we’d like to meet you.

Interact with potential candidates on social media and professional networks (e.g. LinkedIn and Indeed) Craft and send recruiting emails Coordinate with hiring managers and recruiters to determine position requirements Identify qualified candidate profiles using various sourcing techniques Develop talent pipelines for future hiring needs Measure conversion rates, including numbers of passive candidates who turn into applicants, get invited to interviews, get offers and get hired Ask for referrals from current employees and external networks Promote our employer brand online and offline Maintain candidate databases (e.

• g. via our Applicant Tracking System) Communicate with past applicants regarding new job opportunities Support recruiting calendar of events and participate in marketing of events Writes, renews, revises and removes postings from job boards, social media platforms and various professional sites Show considerable discretion regarding sensitive and / or confidential information Document new recruiting processes and revise existing ones as changes occur Assist with document creation and control Builds applicant sources by researching and contacting community services, colleges, employment agencies, recruiters, media, and internet sites;
• providing organization information, opportunities, and benefits; making presentations; maintaining rapport. Work with manager and team to create content for email campaigns, job advertisements, social media, and blogging Coordinate interview schedules for travel, lodging, and meeting and escorting applicant to interviews Organize files and content in the recruiting department Strong multi-tasking and organizational skills Stellar interpersonal and communication skills Motivated team player;

self-starter Effective time management skills Proficiency in Microsoft Office; experience in candidate tracking systems a plus Bachelor’s degree Software knowledge with Mail Chimp, Joomla, Microsoft office, Microsoft Outlook, Big Biller and Constant Contact Phone skills Interpersonal Skills Bachelor’s degree in Communication, Marketing, or Business Extreme organizational skills *Remote position. 50 states Powered by JazzHR

Who We Are

Milliman’s Medicaid Finance and Policy Practice serves a wide variety of organizations significantly impacted by Medicaid reimbursement and funding, including state Medicaid agencies, hospital associations, and safety net hospital systems.

The practice is affiliated with the broader Milliman Medicaid Consulting Group consisting of 200+ professionals, including actuaries, healthcare consultants, attorneys, and statisticians.

We are seeking individuals with experience leading payment transformation engagements with Medicaid programs to join our team.

This position is ideal for experienced healthcare professionals interested in facilitating practice growth through business development, managing projects, and contributing to internal operations in a rapidly growing consulting practice.

Responsibilities

• Leading project teams supporting payment system design and rate setting for state Medicaid agencies in the following areas :
• Payment methodology design and rate development for hospitals, physicians, nursing facilities, home and community-based services and other healthcare providers
• Value-based purchasing initiatives and strategy
• Supplemental payment design, including managed care state directed payment arrangements, fee-for-service ( UPL ) supplemental payments, and disproportionate share hospital (DSH) payments
• Federal financing options and related compliance
• Managing data analysis and modeling using administrative claims and cost survey data
• Reviewing the analytical work of project teams and ensuring Milliman’s quality control processes and procedures are being followed
• Producing thought leadership on trends and regulatory changes affecting healthcare provider payments in Medicaid programs
• Leading development of client reports and presentation materials
• Facilitating external stakeholder engagement
• Supporting business development efforts and additional growth opportunities

Qualifications

• Bachelor’s Degree required, with preference for advanced degree or relevant industry credential
• 10+ years’ experience analyzing healthcare utilization and financial data, with a preference for experience analyzing healthcare payment methodologies and evaluating healthcare outcomes
• 5+ years' experience providing consulting services to state Medicaid agencies
• Experience researching, analyzing, and summarizing Federal and state regulations related to Medicaid program funding and payments to healthcare providers
• Experience leading external stakeholder meetings
• Ability to assist with directing analytical processes and interpreting analytical results to support client engagement teams
• Knowledge of and experience working with medical claims and managed care plan encounter data
• Proficient in advanced Excel and other MS-based product techniques, including MS Word and PowerPoint
• Strong organization skills with attention to detail to manage multiple projects at the same time
• Strong written and verbal communication skills
• Ability to communicate with all levels within the organization
• Ability to work within a team environment and independently manage own work
• This position is based out of Milliman’s Seattle, Chicago, Milwaukee, or Indianapolis offices.

Milliman Benefits

At Milliman, we focus on creating an environment that recognizes and meets the personal and professional needs of the individual.

We offer a competitive benefits package which includes :

• Medical, dental, and vision coverage for employees and their families, including eligible domestic partners
• A 401(k) plan with matching program
• Paid Parental Leave up to 12 weeks
• Profit sharing as a discretionary contribution to employees’ retirement accounts
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason
• Adoption assistance
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs
• Teladoc and nurse advice line
• Best Doctor - Medical second opinion, in-depth expert medical review, access to expert physicians, critical care support, and referral services at no cost
• Employee Assistance Program (counseling and support on everyday life issues, financial tools and calculators, discount tax preparation, legal forms, wellness coaching, interactive e-learning programs)
• Computer, software, and mobile phone discount programs
• ORCA Pass unlimited rides (Seattle only)
• Corporate Social Responsibility and Giving programs

Qualifications

Education

Required

Bachelor’s Degree

Preferred

Graduate degree in accounting, healthcare management, public policy, or healthcare-related disciplines

Experience

Required

10+ years of experience analyzing healthcare utilization and financial data, with a preference for experience analyzing healthcare payment methodologies and evaluating healthcare outcomes

5+ years of experience providing consulting services to state Medicaid agencies

Compensation

The base salary range for this position is $140,000-$225,000, depending on relevant factors, including, but not limited to, education, work experience, skills, certifications, location, etc.

Employees are also eligible for a bonus under our practice’s bonus policy, which can be significant portion of total compensation.

Location

This position is based out of the Milliman offices in Seattle, Indianapolis, Chicago, and Milwaukee. While it is preferred for employees to work onsite in one of the Milliman offices, the option to work remotely anywhere in the US is available.

Milliman Benefits

We offer competitive benefits which include the following based on plan eligibility :

• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• A 401(k) plan with matching program, and profit sharing contribution
• Employee Assistance Program (EAP)
• A discretionary bonus program
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue
• 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
• A minimum of 8 paid holidays
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs

To be considered for this position, please upload a resume and cover letter.

No recruiters, please.

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

Are you energetic and self-motivated with an outstanding work ethic? Do you love working with people and want to start your career in healthcare? Come join us!?

We are looking for extraordinary individuals to provide a WOW experience for every patient that walks through our doors! We want the right person for the job! We can train you!

We are a fun, high energy, team-focused environment where you are provided mentorship and support to become successful. No more sitting at a desk counting down the hours!

Our Healthcare Assistants / Chiropractic Technicians work alongside our Chiropractic Doctors to educate and treat patients on preventative and non-invasive care to reach their health goals!

As a Chiropractic Technician you will be :

• Consulting with patients to learn about their symptoms
• Teaching patients how to properly execute therapeutic exercises (sometimes performing them side by side)
• Managing daily office administrative tasks such as manage patient appointments
• Coordinating and promoting various internal patient events.
• Supporting the clinic’s chiropractic doctor and fellow team members in growth of the office

Perks :

• Starting at $20 / hour
• Paid technician training over your first 4 weeks, where you will learn everything needed for patient care.
• Complimentary prep courses and exam reimbursement for getting a state issued license / certification to take x-rays, along with being issued an immediate pay raise to $22 / hour.
• Full benefits package, including health, dental, vision, 401k etc.

Minimum Qualifications ?

• High school diploma or GED equivalent.

Healthcare Partner

Seattle, WA

Description : Fox Rothschild LLP has an opening in Seattle, WA for an attorney in our Healthcare Department. The ideal candidate will have at least ten years of relevant experience.

Qualifications : Juris Doctorate (JD) required. Must be licensed to practice law in the State of Washington. Admission in the State of California is a plus.

Knowledge, Skills, & Abilities :

• Strong research, writing skills, and academic record.
• General knowledge of healthcare regulatory requirements (Stark, Anti-kickback, No Surprises Act) applicable to physician practices, hospitals and / or health carriers or networks.
• Experience with healthcare contracting, particularly network contracting.
• Knowledge of PPO networks.
• Large law firm experience preferred.

Work Environment& Physical Demands :

This position operates in a professional office environment, but location flexibility may be available dependent on the needs of the practice.

This role routinely uses standard office equipment including, but not limited to computers, telephones, printers, and copiers.

The Firm maintains a COVID-19 vaccination policy. If unvaccinated, a mask will not be required to be worn in the office unless required by local or state government.

Compensation& Benefits

• For information on Fox Rothschild's compensation and benefits visit : Compensation & Benefits (foxrothschild.com)