Health Care - Strat & Ops - Health Plan Mgr.- Medical Mgmt.

Deloitte & Touche USA LLP is the U.S. member firm of Deloitte Touche Tohmatsu and services are provided by its subsidiaries, including Deloitte & Touche LLP, Deloitte Consulting LLP, Deloitte Financial Advisory Services LLP and Deloitte Tax LLP. Deloitte & Touche USA LLP’s subsidiaries are among the nation’s leading professional services firms, providing audit, tax, consulting, and financial advisory services through nearly 30,000 people in more than 80 cities. Known as employers of choice for innovative human resources programs, they are dedicated to helping their clients and people excel.Deloitte Consulting LLP is one of the world's largest and fastest growing management consulting firms.  We provide strategic, operational, and financial and technology related advisory services to many of the world's most prestigious companies.  We are business performance consultants. We are known for our straightforward approach to solving our clients' most complex business challenges. Deloitte consultants
work hand-in-hand with clients to improve business performance, drive shareholder value, and create competitive advantage in the most practical, sensible ways possible.
 
Our Health Plan Practice is working the leaders in the managed care/plans organizations who are dealing with the challenges of increasing health care costs, stronger consumer demands, and constantly competitive treats.  Our consultants are working on health plan strategy and strategic planning in the health insurance products area that involves the development, design and implementation of product based solutions.  As the industry continues to evolve, we are working with the leading organizations in this dynamic market to drive innovative approaches and solutions across the value chain of sales and distribution channels; pricing and risk management; care decision support; customer care; medical management; network management; claims management and membership accounting.   
 
A Manager will oversee and deliver large, complex
client engagements that identify, design, and implement creative business solutions and technology solutions for large health care providers including major medical institutions, academic medical centers, and integrated health care systems.  The manager level job description includes providing service excellence by identifying key client business issues, determining client needs by supplementing the standard assessment techniques and tools with innovative approaches, evaluating and validating analysis and developing recommendations for the client in context of the overall engagement.  Implements and oversees quality of deliverables and manages the team effectively to ensure exceptional performance and manages day-to-day client relationships.  Managers participate in the development and presentation of proposals for business development activities.  Managers manage small engagements or components of large, complex engagements.
 
As a Manager with a Medical Management focus, you will work with
executives and care management functional areas to conduct assessments quantitative analysis on the SG&A and medical cost impact of programs, conducting market assessments and gap analysis relative to best practices, develop medical management strategy.  Will lead and participate in the detailed design of these programs that include work flow, decision trees, and intervention scripts and lead the implementation of the completed solution.  Will also develop the appropriate evaluation criteria that includes the medical cost impact or ROI, clinical and quality outcomes and member satisfaction.Qualified candidates will possess:
- An advanced degree in Business or a related medical or clinical degree
- 7 or more years of experience and prior consulting experience is preferred. 
- Candidates must have solid project management skills. 
- Experience must include business case and strategic development in support of health plan's overall medical management vision. 
- Must
have fundamental knowledge of system business requirements related to health plan functions and programs, knowledge of medical management vendor capabilities.  
- A good understanding of general functionality of utilization management, care management systems, predictive modeling, data warehouse solutions and disease management are required. 
- All candidates must possess excellent interpersonal and communication skills.
- Ability to accomodate, weekly, client-based travelDeloitte & Touche USA LLP and its subsidiaries ("the Deloitte US Firms") are equal opportunity employers.Deloitte refers to one or more of Deloitte Touche Tohmatsu, a Swiss Verein, its member firms and their respective subsidiaries and affiliates. As a Swiss Verein (association), neither Deloitte Touche Tohmatsu nor any of its member firms has any liability for each other’s acts or omissions. Each of the member firms is a separate and independent legal entity operating under the names “Deloitte,”
“Deloitte & Touche,” “Deloitte Touche Tohmatsu,” or other related names. Services are provided by the member firms or their subsidiaries or affiliates and not by the Deloitte Touche Tohmatsu Verein.
Deloitte & Touche USA LLP is the U.S. member firm of Deloitte Touche Tohmatsu. In the U.S., services are provided by the subsidiaries of Deloitte & Touche USA LLP (Deloitte & Touche LLP, Deloitte Consulting LLP, Deloitte Financial Advisory Services LLP, Deloitte Tax LLP and their subsidiaries), and not by Deloitte & Touche USA LLP.
REQUIREMENTS
Please see Job Description