Associate Director - Clinical Solutions - Care Management/Utilization Management

Job Family:

Travel Required:

Clearance Required:

What You Will Do:

This position includes responsibilities in both leveraging and delivering quality, high-level, consulting services to clients for the Guidehouse Clinical Solutions Practice. Organizations across the health industry are seeking holistic solutions that transform every essential function in the delivery of care and other services. Guidehouse helps organizations transform their clinical operating model with virtual, digital, and automated technology, and advanced data analytics, to facilitate effective and efficient care delivery across the continuum. Our person-centered approach engages and integrates clinical and operational workstreams that touch all aspects of the care continuum. Specific responsibilities include:

• Lead cross-continuum consulting engagements through transformational change for payer and provider organizations

• Leverage existing industry relationships for sales and engagement opportunities

• Manage client relationships at the C-Suite level and provide delivery at the operational level

• Deliver industry expertise and management consulting services in support of client engagements

• Deliver return on investment and  financial results based on initiation of processes and tactics.

• Establish account management relationships with key client decision makers with 100% reference ability.

• Deliver industry best practices in clinical care, care management, utilization management, throughput, and post-acute services for payers and providers.

• Create client-ready deliverables

• Mentor Guidehouse team members to develop skills and knowledge for payer and provider practices

• Provide visible leadership within the account and the practice.

What You Will Need:

• 7-10 years of prior relevant consulting and/or industry experience; and 3 years of client-facing consulting experience leading complex projects to timeline and scope with an exceptional attitude

• Recent experience working within a healthcare provider or payer setting, most of which is at the management level

• Ability to develop and drive complex, multi-faceted, multi-site, operational change and clinical improvement programs

• Clinical licensure and Bachelor’s degree from an accredited university; graduate degree preferred

• Excellent financial and quantitative acumen

• Experience using Microsoft office suite - primarily excel, power point, and visio

• Ability and willingness to travel up to 75%

What Would Be Nice To Have:

• Inpatient throughput (emergency room, care management, LOS, and post-acute setting)

• Inpatient utilization review and denials management

• Payer care management, utilization management and quality experience

• Positive and clear interpersonal communication skills with ability to facilitate the exchange of information at all levels internally, as well as with a clients

• Ability to develop and monitor performance metrics at all levels of operations

• 5 years of project/program management leadership of complex provider deliverables with majority of those years in larger provider systems

• Knowledge and familiarity with industry IT and tech-enabled solutions

• Capacity to adapt and lead others in response to changing business conditions

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

• Medical, Rx, Dental & Vision Insurance

• Personal and Family Sick Time & Company Paid Holidays

• Position may be eligible for a discretionary variable incentive bonus

• Parental Leave and Adoption Assistance

• 401(k) Retirement Plan

• Basic Life & Supplemental Life

• Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts

• Short-Term & Long-Term Disability

• Student Loan PayDown

• Tuition Reimbursement, Personal Development & Learning Opportunities

• Skills Development & Certifications

• Employee Referral Program

• Corporate Sponsored Events & Community Outreach

• Emergency Back-Up Childcare Program

• Mobility Stipend

About Guidehouse

Guidehouse is an Equal Opportunity Employer–Protected Veterans, Individuals with Disabilities or any other basis protected by law, ordinance, or regulation.

Guidehouse 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.

If you have visited our website for information about employment opportunities, or to apply for a position, and you require an accommodation, please contact Guidehouse Recruiting at 1-571-633-1711 or via email at RecruitingAccommodation@guidehouse.com. All information you provide will be kept confidential and will be used only to the extent required to provide needed reasonable accommodation.

All communication regarding recruitment for a Guidehouse position will be sent from Guidehouse email domains including @guidehouse.com or guidehouse@myworkday.com.  Correspondence received by an applicant from any other domain should be considered unauthorized and will not be honored by Guidehouse.  Note that Guidehouse will never charge a fee or require a money transfer at any stage of the recruitment process and does not collect fees from educational institutions for participation in a recruitment event. Never provide your banking information to a third party purporting to need that information to proceed in the hiring process.

If any person or organization demands money related to a job opportunity with Guidehouse, please report the matter to Guidehouse’s Ethics Hotline. If you want to check the validity of correspondence you have received, please contact recruiting@guidehouse.com. Guidehouse is not responsible for losses incurred (monetary or otherwise) from an applicant’s dealings with unauthorized third parties.

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