Consultant – Healthcare – Value Transformation – Data Analytics – Chicago, IL

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 with the desire to focus their career towards 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 reimbursement systems
• 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
• Conduct topical research
• Provide team with written and oral summaries of analyses
• Evaluate impact of changes in Federal policy
• Determine required updates to state policy

The following minimum qualifications are required for Consultant level candidates:

• Bachelor’s degree in business administration (finance or accounting), economics, math, statistics, or similar discipline
• Excellent quantitative analysis skills
• Ability to focus in data analytics and programming tasks for extended periods of time
• Working knowledge of Microsoft Office Suite
• Ability to conduct research
• Strong data analytics background or interest
• Knowledge of Structured Query Language (SQL) or other programming languages
• Beginner knowledge of SAS programming to analyze data
• Solid written and oral communication skills
• Ability to work overtime and 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