Deloitte Senior Consultant, Health Care PBM, Operating Model Transformation in Costa Mesa, California
Senior Consultant, Health Care, Operating Model Transformation
Amid uncertainty and change, health care stakeholders are looking for new ways to transform the journey of care. By focusing on the differentiated needs of plans and providers, our US health care practice helps clients transform uncertainty into possibility, and rapid change into lasting progress. Deloitte s Health Plans practitioners can help you use analytics to gain insight, capture value in Commercial, Medicare, and Medicaid markets, understand retail health, and transition to value-based care.
Work you ll do
Senior Consultants perform detailed, quantitative analysis work associated with developing meaningful insights to address health cares biggest challenges. Responsibilities typical of a Senior Consultant on one of these projects could include:
Participate in setting engagement objectives and scope
Develop work plans for components of an engagement
Coordinate activities between work streams
Provide guidance to junior practitioners as they manage large, confidential, and complex data sets
Facilitate client interviews / client meetings and develop workshops
Develop process flows depicting pain points in the business process
Conduct detailed analyses to draw conclusions, and develop pertinent and insightful recommendations
Design deliverable content to reflect the engagement contract
Present findings and recommendations to client leadership
Mentor junior staff
Our Operations Transformation team focuses on transforming our clients core business operations. We advise, design, implement, and deploy solutions focused on heart of the business issues in specific sectors including Health Care, Banking & Securities, Insurance, and Energy & Resources. Our Market Offerings include Operating Model Transformation, Payments & Revenue Cycle Innovation, and Emerging Business Models.
Our clients seek a fresh perspective on how to create a flexible, innovative business model supported by a strong operations foundation. Professionals will use their deep sector knowledge and technical business operations consulting experience to take a more strategic view of our clients priorities, helping them to prepare for growth, embrace the digital agenda, and maximize operational efficiency.
Bachelor s degree from accredited university with strong undergraduate academic record.
Minimum of 4 years of professional experience in Healthcare industry, or a mix of a few years industry experience and functioning as a Senior Consultant in a Consulting environment.
Industry experience to include working with health plans, pharmacy benefit managers (PBM), retail health organizations or Third-Party Administrator (TPA).
3 years experience with Pharmacy Benefit Management industry (e.g., business operations, sales & account management, reporting and insights, and/or product management)
Experience with Pharmacy Benefit and Formulary Implementation, Pharmacy Claim Adjudication, Pharmacy Benefit Operations, Specialty Pharmacy Benefits, Mail Order Pharmacy
Experience with Pharmacy benefit, formulary, network design and management, Drug benefit pricing, utilization management program operations, Medicare Part D operations
Demonstrates consistent career progression with increasing levels of responsibility
Competent in Microsoft Excel and PowerPoint
Willingness and ability to travel 80%
Limited immigration sponsorship may be available.
Professional experience with operational process mapping and performance improvement
Professional experience with healthcare cost reduction planning and implementation
Excellent undergraduate academic record (GPA 3.5 )
Advanced degree in business or health care-related field (e.g., MHA, MBA, MPH) from a top tier program
Professional competence in Microsoft Excel, PowerPoint, Visio, and Access
Superior critical thinking, analytical and problem-solving skills
Exceptional interpersonal, team-building, and communication skill
Ability to build consensus and foster change in a client business setting
Commitment to personal and professional growth
Sense of responsibility to self, team, and client
Outstanding integrity, initiative, creativity, and passion
Ability to work in an ambiguous environment
How you ll grow
At Deloitte, our professional development plan focuses on helping people at every level of their career to identify and use their strengths to do their best work every day. From entry-level employees to senior leaders, we believe there s always room to learn. We offer opportunities to help sharpen skills in addition to hands-on experience in the global, fast-changing business world. From on-the-job learning experiences to formal development programs at Deloitte University, our professionals have a variety of opportunities to continue to grow throughout their career. Explore Deloitte University, The Leadership Center. at https://zoomforth.com/s/deloitte/du#home
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Deloitte s culture
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Category: Management Consulting
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