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 Health Care Strat & Ops Health Plan Senior Consultant Medical Mgmt.

Details
Country: USA
Location: MI Detroit
Total applied: 36

Health Care Strat & Ops Health Plan Senior Consultant 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 is one of the world's leading management consulting firms, and is uniquely known for its straightforward approach to solving today's most complex business challenges.? Deloitte Consultants work hand-in-hand with clients to improve business performance, drive shareholder value, and create competitive advantage.??The firm has 37,000 professionals in 40 countries, and serves more than one-third
of the companies in the Global Fortune 500. It is the only consulting firm with consistent appearances on Fortune Magazine's list of? "100 Best Companies to Work for in America."
?
Deloitte's Medical Management and Pharmacy Solution is a comprehensive approach that incorporates multiple components of a Health Plan's operations to help client organizations assess their medical management strategies and practices and their impact on medical and pharmacy costs.? We evaluate medical management interventions on employers, members and providers, and also evaluate the impact of medical management strategy on the Health Plan's market position.
?A?Senior Consultant?with experience in consulting will manage and deliver large, complex client engagements that identify, design, and implement creative business solutions and technology solutions for large health care providers including hospitals and physician practices. ??The Senior Conultant 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 recommendations of the engagement team in context of the total engagement.? Implements and oversees quality of deliverables and manages the team effectively to ensure exceptional performance and Senior Consultants day-to-day client relationships.??Senior Consultants participate in the development and presentation of proposals for business development activities.??Senior Consultants?manage small engagements or components of large, complex engagements
Requirements include deep understanding of the business processes that support large insurers including medical management, claims administration, membership and billing.? Prior experience with utilization and/or case management, development and implementation of disease management solutions, Medicare compliance and related health plan operations management are ideal
.? A qualified candidate has a undergraduate degree in business or clinical (RN or Pharm D) and a MBA and 5+ years of industry and consulting experience in payer and/or managed care operations including medical management.? Clinicians with experience in this expertise are encouraged to apply.

Deloitte & Touche USA LLP and its subsidiaries ("the Deloitte US Firms") are equal opportunity employers.

About Deloitte
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.




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