Director, Health Plan and Managed Care

Director, Health Plan and Managed Care

Description

Alvarez & Marsal (A&M) is a global consulting firm with over 10,000 professionals in over 40 countries. We take a hands-on approach to solving client problems and helping them reach their potential. Our culture values independent thinkers and doers who impact our clients and shape the industry. The Healthcare Industry Group delivers transformational change for healthcare executives, boards, private equity firms, investors, law firms and government agencies, offering expertise in financial and operational performance, strategic growth, and value realization across the investment lifecycle.

Our team provides capabilities in interim management, restructuring, revenue cycle management, mergers and acquisitions, compliance and regulatory, digital technology and analytics.

You will have the opportunity to work with clients across health systems and providers, physician groups, ancillary providers, medical schools, vision, laboratory, dental, behavior health; managed care and health plans, government programs, healthcare investors and lenders, medical devices, healthcare suppliers and infrastructure, and life sciences.

The Healthcare Industry Group, a subsidiary of A&M, focuses on delivering transformational change. Our professionals advise organizations on financial and operational performance improvement, strategic growth, and value realization across the investment lifecycle, with expertise in interim management, restructuring, compliance and regulatory matters, digital technology, and analytics.

As a director, you will lead a team and serve as the main conduit between healthcare clients and our team on a range of complex assignments. You will manage projects by overseeing interview activities, gathering relevant data, developing goals and deadlines, reviewing work products of junior staff, and communicating with clients directly. Depending on the client project, responsibilities may include:

• Managing engagement economics and overall product delivery, budgeting, and timely billing & collections, including managing implementation risk and profitability for smaller-scale projects.
• Building, reviewing, and presenting financial models such as 13-week cash-flow forecast, pro-forma analysis, and three-statement financial models to clients.
• Improving client tracking tools and developing KPIs and metrics to identify and quantify quality and operational performance improvement opportunities.
• Demonstrating an understanding of health plan financial and operational drivers with the ability to draw insights, influence decisions, and drive results.
• Participating in industry networking events and using social media to enhance our brand and build a network.
• Acting as an integral member of the sales team, developing portions of proposals and pitch documents.
• Leading client project plans and teams, ensuring deadlines are met and on-time deliverables.
• Engaging with clients to foster strong relationships and provide high-quality updates.
• Guiding clients through crises and fast-changing time frames with practical solutions.
• Managing project teams, assigning responsibilities, and providing on-the-job coaching and feedback.
• Identifying root causes of client issues and redesigning processes to achieve client goals with urgency and accuracy.
• Engaging in C-suite and board-level conversations about challenges and strategic initiatives.
• Developing clear transition and hand-off plans to sustain improvements.
• Discussing organizational structure, key functions, and interdependencies.
• Developing health plan payer business models that integrate growth, services, and delivery strategies.
• Managing and mentoring junior staff, including training and development.
• Building relationships with existing clients and serving as the main conduit between the client and A&M team.
• Seeking opportunities to expand project scope while incorporating diverse perspectives in business development initiatives.

We are seeking someone with an entrepreneurial and collaborative mindset who can manage ambiguity and thrive in a fast-paced environment. As a director you will develop a team environment, commit to quality work, and provide on-the-job training to develop staff skillsets.

We are not a typical consulting firm. We are entrepreneurial, action-oriented, and results-driven, taking a hands-on approach to solving client problems and driving value and growth. We are nimble, resourceful, proactive, and able to pivot quickly to drive real results.

You will be part of a team passionate about delivering transformational change and making an impact in the healthcare industry.

• A minimum of eight (8) years of experience in healthcare, consulting, or the healthcare industry with a health plan focus (e.g., health plan finance, accounting, audit, managed care, or healthcare operations).
• BA/BS and/or MBA/MS in Accounting, Finance, or related healthcare fields (MHA or MPH).
• Advanced Microsoft PowerPoint and Word…