Navigant Consulting Inc Director- Healthcare Value Transformation focuse on Payer Managed Care - Multiple Locations in Atlanta, Georgia

Navigant Consulting, Inc. (NYSE: NCI) is a specialized, global professional services firm that helps clients take control of their future. Navigant’s professionals apply deep industry knowledge, substantive technical expertise, and an enterprising approach to help clients build, manage and/or protect their business interests. With a focus on markets and clients facing transformational change and significant regulatory or legal pressures, the Firm primarily serves clients in the healthcare, energy and financial services industries. Across a range of advisory, consulting, outsourcing, and technology/analytics services, Navigant’s practitioners bring sharp insight that pinpoints opportunities and delivers powerful results. More information about Navigant can be found at

The healthcare industry is undergoing a generational shift from Fee For Service (curve 1) to Pay For Value (curve 2) payment and delivery models. Our Value Transformation (VT) practice is responsible for helping payers and providers develop go-to-market strategies and operational plans to transform their business, payment and delivery models to create high value , more sustainable, affordable and high quality services. Our team has an integrated platform of services to help our clients achieve their goals, including:

  • Clinically Integrated Networks: Market analysis, organizational design, network development, physician alignment.

  • Payment Transformation: Develop payment and funds flow distribution models that incentivize and reward high quality of care.

  • Total Medical Expense Management (TME): Implementation of care delivery models that manage care across the continuum.

Our experience includes:

  • Work in over 90 markets nationally provides us tremendous national experience and local market insight to value based care models

  • Experience with over 20 ACOs, including Pioneer ACOs and MSSPs, including managing the start-up for 6 MSSPs

  • Facilitated over 25 commercial payer/provider ACO contracts/partnerships centered on shared savings, shared risk and performance based payment

  • Assists over 150 hospitals with CMS bundling applications, implementation and performance measurement

  • Development of numerous CIN’s, including several regional / statewide organizations across multiple health systems

  • Utilize our NextGeneration analytic toolkit, with over 1B claims, to provide a wide array of analytics, modeling and reporting services for leading payers and providers to budget and manage margin and total medical cost trend Assists several large providers and payers, including Medicaid agencies, with the design and implementation planning of new payment and delivery models (e.g., ACOs, medical homes, etc.)

Our clients rely on our team for an integrated solution that drives improved performance and competitive advantages in their markets, in a way that enables senior executives to manage their business to new provider sponsored risk models. See How Far Impact Can Reach.

This role can be based in any of the following locations: Chicago, IL; Denver, CO; Atlanta, GA; Washington, DC; New York, NY; Minneapolis, MN; Dallas, TX; Tampa, FL; Indianapolis, IN

We are currently seeking a highly motivated Consulting Executive to provide thought leadership in healthcare’s value transformation and direction to clients seeking their paths to transformational change. Responsibilities are broadly defined and require strong analytical, creative, and interpersonal skills. This consulting leader must have strategic focus, excellent organizational skills, the ability to manage multiple projects, and the ability to communicate effectively. The ideal candidate is an experienced executive consulting professional with a Payer oriented, managed care strategy background able to work both independently and in a team environment. The ability to use common consulting tools to create and deliver content is a must, and is expected even when developing more junior team members. This executive consulting leader will have accountability to conceptualize holistic solutions, sell and oversee the planning of complex managed care consulting engagements and work with the broader Navigant and client’s continuum of care to insure satisfactory outcomes that deliver real results. They will be part of the thought and people leadership that elevates Navigant as a firm and lift our clients to the next level.

The Director will be responsible for

  • Leading holistic managed care Payer consulting thought leadership, and evolving Navigant’s approach to systematically, holistically responding to the demands of reform with the right mix of staff, innovation, tools, and structure to deliver superior results for Navigant’s clients

  • Providing consulting expertise in areas including: spearhead/develop next generation payment models (such as commercial/managed care single signature contracting under the ACO, bundles, direct-to-employer contracting, gain sharing, narrowed/tiered insurance networks, population health management) resulting in value based payments

  • Assessment of Payer as well as Provider alignment, contract risk positioning, physician alignment, Development of accountable care and business relationships with health care systems, payers and provider groups

  • Both individually and as a consulting team’s leader, advancing payer clients on clinical/financial outcomes and advancing the health payer and the systems they contract with through innovative programs

  • Client relationship management that results in relating effectively and with the highest degree of credibility to health plan/payer C-suite executives in the context of leading business development, marketing, and sales, as well as building and executing service delivery teams

  • Expanding the market by selling profitable consulting engagements both vertically and horizontally

  • Building/elevating Navigant teams to successfully guide the Payer in managed care/ strategy and care model redesign to maximize efficiency and outcomes

  • Providing knowledge of market context – how the provider environment should factor into key decisions and timing

  • Leadership of consulting staff.

Opportunities and Challenges

  • Leading a team of highly experienced consultants who have worked with a variety of healthcare organizations

  • Designing, developing and implementing solutions that redefine healthcare and are at the forefront of healthcare reform

  • Being the catalyst and the guide to identifying and building capabilities at the Payer to sustain client transformation in managing care as they embrace healthcare reform

  • Working for the recognized national leader in healthcare consulting

  • Engaging the market and managing complex sales; strong presentation and closing skills; understanding of Payers' (and Providers) specific business goals, strategy, financials and challenges

  • Unlike other management and strategy consulting firms, Navigant’s approach involves much more “cradle to grave” solutions than what is the industry standard. Not only is a customized solution identified and designed for the client, it is also implemented and tested

  • Provide subject matter expertise, analytic prowess/interpretation and creative development of offerings to build capabilities to client and to Navigant

  • Identify and own the development of new consulting solutions that will be brought to market

  • Previous executive consulting or industry leadership with Medicare/Medicare Advantage (STARS and quality), accountable care organization, or patient centered medical home highly desirable

  • 10+ years professional experience in a combination of the following:

  • ACO leadership

  • Managed care

  • Health Plan or Payer leadership

  • Health Plan executive level contract management

  • IT/Data management

  • Quality management

  • Client-facing healthcare consulting role

  • Proven verbal and written communication skills, including the ability to persuade senior management

  • 10+ years of work experience in healthcare management and/or strategy, or equivalent consulting experience. 3+ years of work experience with payor in Medicare or Medicare Operations strategy or operations leadership, or financial strategy /ops or contracting strategy is highly preferred

  • Superb problem-solving and interpersonal skills

  • Demonstrated use of analytical skills that found innovative, holistic, value based strategic solutions

  • Demonstrated ability to lead and supervise staff in a collaborative and matrixed team environment to achieve budget and timeline goals

  • Experience selling consulting and building strong client relationships at the executive level, demonstrated by persuading boards and C-suites of Health Plan and Payor organizations to action for at least three years at a minimum of $4 million annually

  • Master’s degree in business, healthcare, or related field strongly preferred; Bachelors required

  • Demonstrated leadership achieving outcomes in healthcare consulting focused strategy and transformation projects

  • Proficiency in MS Office Suite – Word, Excel, PowerPoint, MS Project

  • Frequently communicates with clients and coworkers and must be able to share information effectively

  • Strong conceptual, as well as quantitative and qualitative analytical skills

  • Flexibility and responsiveness in managing multiple projects in sometimes high-pressure situations simultaneously

  • Self-motivator with ability to work independently

  • Plan, direct, and coordinate work activities of others

  • Frequently travels by airplane, train or car as necessary to perform work at another location

The company offers competitive compensation packages including an incentive compensation plan, comprehensive medical/dental/life insurance, 401(k) and employee stock purchase plans.

Navigant does not accept unsolicited resumes through or from search firms or staffing agencies. All unsolicited resumes will be considered the property of Navigant and Navigant will not be obligated to pay a placement fee.

Navigant is an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, ancestry, citizenship status, military status, protected veteran status, religion, creed, physical or mental disability, medical condition, marital status, sex, sexual orientation, gender, gender identity or expression, age, genetic information, or any other basis protected by law, ordinance, or regulation.