Senior Consultant, Value Realization - Snapx

The Value Realization Senior Consultant is responsible for helping to drive the progress of initiatives towards value realization go-live across a variety of functional areas (e.g. care management, medical cost reduction, etc.). These efforts will involve leveraging a combination of quantitative and qualitative data to develop scalable metrics, insights, analyses, and processes to see and track opportunities through implementation. the Value Realization Senior Consultant will need to work alongside the Value Realization Consultants and Enterprise VT and Realization Senior Director to create analysis reporting to help track value realization targets to timeline. This position is expected to work in an agile fashion. Therefore, this resource will need to be prepared to work successfully through iterative workplan adjustments and be prepared to act on unplanned risks and issues that evolve through progression of initiatives. 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 and will report to the Value Realization Manager.

• As defined and communicated by the Enterprise VT and Realization Senior Director, supports execution of key activities and objectives in support of value realization goals, as prioritized by the Senior Director of Value Targeting and Realization. Documents progress of opportunities in solutioning and implementation to report to the Enterprise VT and Realization Senior Director.
• 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 stakeholders unique needs and desired visibility level.
• Coordinates with Enterprise VT and Realization Senior Director and Results Management team to document potential savings by appropriate cost centers by tracking live initiatives and authenticating realized value against forecasted savings.
• Documents progress towards value realization start dates through coordination with Enterprise VT and Realization Senior Director. Supports continued initiative development through milestone completion activities related to financial forecasting.

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.

• N/A

• Experience in health plan & healthcare operations.
• Experience in supporting financial planning & analysis.
• Ability to apply working knowledge of standard healthcare data sources & parameters (e.g. claims knowledge).
• Thorough understanding of data analytics methodology & applications.
• Deep understanding of complex project management processes, tools, techniques and methodologies to lead large scale efforts.
• 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.
• Experience in payer and provider organizations across various functional areas.
• Experience in any of the following functional areas preferred: Care Management, Pharmacy, Provider & Medical Vendor Contracting, Medical Cost Reduction/Overpayment reduction, Claims Utilization Management, Claims, Payer/Provider Claims in Healthcare.
• Ability to apply a working knowledge of Structural Query Language (SQL) and other relational databases.
• Experience with program & project management and execution.
• Experience working in PowerBI and/or Tableau.

• N/A.

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