Director - Clinical Operations - Commercial Payer Provider Healthcare

Guidehouse-posted 2 days ago
$235,000 - $395,000/Yr
Full-time • Director
Minneapolis, MN
5,001-10,000 employees
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The Director in clinical and operational improvement will be dedicated to the profitable growth of the firm’s Healthcare Payer Provider optimization group. The ideal candidate will bring extensive healthcare industry experience with a proven track record of delivering innovative clinical and strategic performance solutions to hospitals and health systems. This individual will lead the design, development and implementation of large clinical improvement optimization programs resulting in high performing health care operations. He or she will manage multi- work stream programs to timeline / scope / budget across the larger platform. The Director will work with Guidehouse specialty areas and partner with the client to deliver robust solutions/outcomes to generate positive revenue for Guidehouse in areas including performance improvement, clinical operations, length of stay, value based care and population health, utilization management and capacity management. The Director will participate in and help direct nationwide business development and relationship management activities for Guidehouse Healthcare clients requiring optimization. This position includes responsibilities in leveraging and delivering high quality consulting services to clients for the Guidehouse Healthcare Payer and Provider Practice. The following sections describe the specific areas of prime importance in the execution of these responsibilities:

  • Deliver industry expertise and management consulting services in support of client engagements in the Health Segment.
  • Establish account management relationships with key client decision makers.
  • Identify key industry issues and develop solutions specific to client needs.
  • Provide delivery assurance support for engagements with targeted clients.
  • Mentor staff on assignments within the account delivering services
  • Provide visible leadership within the account and the practice.
  • Lead consulting projects in support of contract deliverables, project plans, and executive expectations through strong impact and influence on key client decision makers and client influencers.
  • Flexible, positive, and clear interpersonal and communication skills with ability to facilitate the exchange of information within all levels of Guidehouse. This includes key client leadership such as nurse executives, surgeons, anesthesiologists, hospital executives, and other professional and ancillary staff.
  • Ability to develop and monitor performance metrics at all levels of operations, including clinical and non-clinical measurements.
  • Ability to articulate financial results across multiple projects with ease; highly quantitative orientation.
  • Adroit use of methodology and leadership within the project management setting; past PMO experience preferred.
  • Outstanding oral and written presentation skills and recognized as an industry expert (via published articles, white papers, and/or public speaking engagements).
  • Demonstrated success selling high impact transformational solutions to large health systems (preferably $3M annual sales).
  • Capacity to adapt and lead others to understand and accept values, strategies, goals and plans in response to changing business conditions.
  • Proficient in Excel, Word, and PowerPoint skills and ability to independently produce documents or aptitude to develop this level of skill within a defined period; MS Project Experience preferred.
  • Undergraduate degree required; Nursing or clinical degree from an accredited college preferred.
  • 10+ years of experience in hospital operations including clinical operations, performance improvement, labor and non-labor optimization, physician operations, or financial operations focused on a provider setting. This includes experience in patient flow, bed management, inpatient nursing, bed transfer, command center operations, and strong understanding of patient throughput.
  • Demonstrate a deep knowledge of hospital and health system operations.
  • Ability to benchmark data and leverage data to assist clients in redesigning operational processes to drive efficiency, including creation of standard work processes.
  • Ability to conduct relevant research, interpret analytics, and draw conclusions / make relevant recommendations based on analyses performed - including a basic proficiency in Microsoft Office applications.
  • Prior experience delivering programs in a consulting environment; driving complex, multi-faceted, multi-site application/operational change and clinical improvement programs on aggressive timelines.
  • Strong client leadership skills and ability to sell add-on work and recognize business development opportunities in challenging situations.
  • Open to extensive work-related travel more than 75% of the time.
  • Ensure high quality work by taking advantage of learning opportunities and be self-motivated.
  • Comfortable interfacing with hospital executives to report findings and recommend solutions that align with leading practice.
  • Interpersonal and communication skills with ability to facilitate the exchange of information at all levels internally, as well as with a clinician-based client department, including, but not limited to, physicians, nurses, hospital executives, and other professional and ancillary staff.
  • Understanding of complex IT and tech-enabled solutions that are integral to enabling efficiency and appropriate to quality and throughput of care.
  • 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
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