Freed Associates

Senior Consultant – Health Plan

Category
Consulting
Sacramento

Overview

Our clients are operating in dynamic, fast-paced environments, where change is constant.  We assist our clients with both transformational and incremental change, through a range of projects spanning Strategy, Operational Capability Development, and Technology Implementation.  This work requires a strong understanding of the Health Plan market and competitive environment, so that change can be engineered to attain important consumer, employer group, broker/channel partner, or provider network needs. 

 

Our clients are major health plans located in California that compete in Commercial, Medicare, and Medicaid markets.  We serve the CxO, SVP, VP, and Director levels of these organizations.  We lead and manage strategy initiatives, as well as performance improvement projects, across the entire Health Plan business process landscape:

  • go-to-market strategies and execution (product and provider network development, marketing, customer acquisition/retention)
  • enrollment, billing, claims processing and customer service
  • medical cost and quality management
  • health care analytics and financial management
  • regulatory compliance

Our management consultants have at least 10 years of direct experience with these business processes, which enables them to effectively design and organize critical work to achieve measureable outcomes. 

Responsibilities

Here’s a sample of the kind of work you would be doing: 

  • Manage the development of programs/products from concept through launch --- orchestrating all necessary cross-functional areas in planning, design, and implementation activities for HMO/PPO product development, Public/Private Exchange participation, and Care Delivery programs
  • Lead clients through strategy development to ensure a shared vision and roadmap for implementing new and improved business and IT capabilities that will tangibly improve customer experience
  • Manage a portfolio of projects and programs – determining relative priorities, balancing resources, and imposing program and project management disciplines across the portfolio
  • Lead projects by helping our clients adapt to ever-changing and complex Regulatory requirements (e.g., Health Reform 2.0, DOI/DHMC, Medi-Cal)
  • Conduct assessments of business and clinical operations, then lead change management in various business processes and IT/technology areas to achieve expected cost, quality and service improvements
  • Specific responsibilities may include:
    • Develop strategy
    • Create project charters, prepare  detailed project plans and work breakdown structures, and create and maintain project budgets (e.g. “level of effort” cost estimates)
    • Orchestrate cross-functional project execution, including governance and communications activities, issue/risk management and contingency plan development
    • Documenting “AS IS” and “TO BE” operational capabilities, including development of roadmaps that cohesively integrate important People, Process, and Technology changes

Qualifications

We are seeking motivated, talented management consultants to join our team.  We have found that people with these attributes excel at Freed:

  • Significant experience with all aspects of large cross-functional, transformational projects in health plans
  • Strong partnership and collaboration skills with client customers and Freed peers
  • Ability to confidently engage all levels of an organization (C-Suite, Management, Business/Clinical)
  • Ability to produce and lead others to deliver high quality deliverables and timely results
  • Exhibit a high degree of self-motivation, integrity, versatility and flexibility
  • Excellent communication, presentation and interpersonal skills, both written and verbal
  • Experience with commonly used Claims/Benefit Administration, Customer Service, Care Management, Financial, Sales systems is a plus
  • Willingness to travel on the West Coast is required based on client needs
  • A Bachelor’s Degree is required; a Master’s Degree is a plus

Perspective

Freed Associates is a boutique healthcare consulting firm specializing in engagements for health plans, hospitals, physician practice groups, life sciences and related healthcare organizations based in California. Since 1991, our clients have looked to us to ensure that their initiatives are completed successfully and without drama. We’re continually expanding our team to meet consistent demand for our services. 

Our team consists of top-notch industry professionals who know acute care, ambulatory care and health plan operations. We focus on meeting our clients’ needs, and helping to solve their problems. We offer a broad range of consulting services to address operational, regulatory, transformational, and management needs.  If you are frustrated by your current work,
cross country travel schedule or lack of work/life balance, you should talk to us. 

 

Our firm was founded on a few, simple ideas: 

  • If we take good care of you, you will take good care of our clients. 
  • You want to be paid well and be challenged, and work with high caliber colleagues that push you to be better, and you want the ability to build a career with work/life balance. 
  • You want the ability to build a career around work/life balance

We are proud of our long-standing commitment to these ideas; they are at the heart of how we treat our people. For example, we pay 100% of the cost of medical, dental, vision, long-term disability and life insurance for all employees.

 

For Consideration

Please submit resume and statement of interest to: https://careers-freedassociates.icims.com

 

Locations
Our Consultants are located near urban areas throughout the State of California. We are looking for candidates located in the San Francisco Bay Area, Sacramento, and Southern California.

 

Freed Associates is an Equal Opportunity Employer

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