Healthcare Consultant

Health Consulting Practitioner with a Leading IT Services and Consulting Company Practice: Health & Public Service, Industry Consulting, Capability Network I Areas of Work: Healthcare Consulting (Payers and Provider) | Level: Open | Location: Gurgaon/Mumbai/Bangalore/ Hyderabad/Pune/Kolkata/Chennai | Years of Exp: 3-15 years In this practice, you’ll help drive our Healthcare clients’ strategy and business planning efforts, with the following initiatives: • Support small to medium-size teams to deliver management consulting projects for global clients. Help define commercial strategy, strategy implementation, market scoping, customer journeys, go-to-market strategy, and process improvement. • Contribute as a part of pursuit teams, develop proposals and support efforts of the global sales team to win potential opportunities within the practice. • Build the practice and track metrics. Also, develop assets and methodologies, pointof-view, research or white papers, internal tools or materials for use by larger community. • Acquire skills that have utility across Health industry groups. • Draw insights from complex financial and quantitative analysis and integrate these findings across work streams and come up with an overall plan to drive strategy and solution development. Structure and implement forecasting models and identify transformation opportunities. • Identify company’s key cost and value drivers and explain their priority and influence on business performance. • Develop strategies and operating models focused on 1 or 2 business units and assess likely competitive responses. Also, assess implementation readiness and points of greatest impact. • Manage proposals and business development efforts and coordinates with other colleagues to create consensus driven deliverables. • Execute a transformational change plan aligned with client’s business strategy. Engage stakeholders in the change journey and build commitment for change. • Demonstrates good sales acumen, apply client knowledge, Accenture sales, opportunity management and contract processes to structure high impact solutions for clients. • Lead presentations for the entire project with the client. Advocate a point of view and orchestrates, address difficult questions during presentations Bring your best skills forward to excel in the role: • Health Industry expertise with understanding of US healthcare ecosystem on how health insurance is offered, administered, serviced, and managed in different categories • End-to-end understanding of payer and/or provider functional value chain components • Proven team handling skills with an ability to engage effectively with multiple stakeholders • Ability to solve complex business problems and deliver client delight • Strong writing skills to build point of views on current industry trends • Good analytical and problem-solving skills with an aptitude to learn quickly • Excellent communication, interpersonal and presentation skills • Cross-cultural competence with an ability to thrive in a dynamic environment Your experience counts! • MBA from Tier-1 B-Schools OR a postgraduate degree with rich experience of working in US healthcare consulting domain will be a good fit • 3-15 years of relevant experience • End-to-end understanding of payer and/or provider functional value chain components with focus on cost reduction or transformation engagements • Prior experience of working with US healthcare companies preferable or must have worked across engagements with US healthcare clients • Exposure to Data Strategy and GenAI for Health Use Cases will be added advantage • Should have project experience in working around (any 2-5): o Claims Adjudication & Reimbursement o Member Enrollment o Benefits Administration o Utilization/Care Management o Clinical Operations o Claims Audit & Reporting o Medicare Part C, Part D Knowledge o Payments & Billing o Products / Platforms – Facets, QNXT, HealthEdge, RxClaims o Provider Contracting & Network Management o Regulatory Compliance – STARS, HEDIS measures o Member /Provider Communication