Sr Consultant, Value Realization

$92,600 - $105,000 yearly
  • The Resume Review - Recruiting Department
  • Atlanta, GA, USA
  • Apr 05, 2021
Full time Consultant

Job Description

Job description


The Value Targeting Senior Consultant is responsible for collaborating with the value targeting team in order to support value targeting activities for KPGA Transformation Change Office (TCO) across a variety of functional areas (e.g. care management, medical cost reduction, etc.). These efforts will involve leveraging data analytics, functional area expertise, and stakeholder input to help identify opportunities to value capture and ultimately increase revenue and savings for KPGA. In order to be successful in this role, the Value Targeting Senior Consultant will work closely with respective Value Targeting Sr. Consultants and Analyst. The expectation of this role is to work in an entrepreneurial fashion in order to help generate hypotheses, conduct initial data analysis and hypothesis evaluation, and work with the team to develop value and predicted timelines for each hypothesis. Criteria for advancement includes expanded skills and knowledge based on experience, record of success (key KPIs to be defined), and job assignments. This role will focus on non-clinical/non-hospital settings.

Essential Responsibilities:
  • Drives innovation, agility and automation in the value realization process by experimentation with new metrics and concepts to track actuals as initiatives move through development to implementation, constantly seeking ways to reduce inefficiencies.
  • Spearheads development of dashboard documentation and refinement, taking into account each stakeholder's unique needs and desired visibility level.
  • Supports value targeting and implementation responsibilities. Conducts data analysis to determine the viability of opportunities, validates & refines hypotheses, drives solutioning, and quantifies hypothesis timelines.
  • Reports progress, risks and identifies analytics improvements to support remediation of impediments and blockers to the Enterprise VT and Realization Senior Director.
  • Develops and delivers written and verbal presentations, briefings, and other communications in a compelling, visually driven, concise and informative manner.
Basic Qualifications:
  • Minimum one (1) years of experience in related field.
  • Minimum one (1) years of experience in leading projects.
  • Bachelors degree in health care, business administration, finance, procurement, IT or four (4) years of experience in a directly related field.
  • High School Diploma or General Education Development (GED) required.
License, Certification, Registration
  • N/A.

Additional Requirements:
  • Internship or extracurricular experience in one or more of the following areas.
  • Experience in health plan & healthcare operations.
  • Experience in supporting financial planning & analytics.
  • Thorough understanding of data analytics methodology & applications.
  • Ability to communicate across a variety of stakeholders in varying organizational levels & functional areas - ability to articulate business requirements to technical resources for dynamic dashboard buildout required.
  • Payer and provider exposure in past professional experience and/or exposure in related coursework. 
  • Experience in any of the following functional areas is preferred: Care Management, Pharmacy, Provider & Medical Vendor Contracting, Medical Cost Reduction/Overpayment reduction, Claims Utilization Management, Claims, Payer/Provider Claims in Healthcare.
  • Strong oral and written communication skills.
  • Strong data analysis skills.
  • Experience working in PowerBI and/or Tableau.