Overview

A Milliman Healthcare Management Consultant serves a diverse array of clients including health insurance companies, government agencies, healthcare providers, and healthcare purchasers. This role will contribute to a wide range of engagements but will be focused on developing and delivering provider network analytics, health plan performance measurement, and strategy solutions, in addition to, managed care plan oversight services. 

Successful consultants are solution-focused leaders who help clients develop and implement strategies for protecting and growing profitable market share, diversifying their businesses, and leveraging their assets. Our team works side-by-side with clients, drawing on our expertise, skills, tools, and data to help clients solve business challenges. The most successful consultants are inquisitive, apt listeners, can quickly synthesize information, embrace innovation, project confidence and intuitiveness. 

Example projects include:

• Evaluate health plan networks and associated access and adequacy
• Evaluation and monitoring of managed Medicaid health plan performance
• Conduct a market study to evaluate the feasibility of launching a new product
• Develop administrative cost estimates and assessments in support of health plans and state entities
• Evaluate a client’s administrative operations to identify opportunities to improve efficiency
• Design a pricing model and marketing strategy for a new product
• Write a proposal to help a client win a new block of business
• Helping a client prepare for accreditation or meet government requirements

Responsibilities

• Manage the development of provider network analytics solutions and services
• Lead the development of managed care plan oversight solutions and services
• Support clients on program strategy, design, development, and implementation 
• Communicate results and facilitate discussions with clients and other stakeholders as needed to help clients develop their desired policy options
• Manage the development of new processes, products, and solutions to meet client needs
• Be responsible for project management and tracking; may act as an overall project leader or work in conjunction with other team members to staff larger projects
• Prepare reports and develop engaging presentation materials
• Keep abreast of trends and regulatory changes affecting clients
• Ensure quality control processes and procedures are followed

Qualifications

• 10 years of healthcare consulting experience in a similar role, or related experience with involvement leading data analysis projects
• Superior problem-solving capabilities and learning agility
• Strong organization skills to manage multiple projects at any given time
• Ability to work within a team environment and independently manage own work 
• Strong written and verbal communication skills
• Excellent computer skills

Preferred

• Experience with provider networks, access measurement, and analytics
• Experience translating technical requirements and business analytics

The Team

The Healthcare Management Consultant Team serves a diverse array of clients including health insurance companies, state government agencies, healthcare providers, and healthcare purchasers. Our team works side-by-side with clients, drawing on our expertise, skills, tools, and data to help clients solve business challenges. You will work in a matrix environment, learning from seasoned consultants and gaining exposure to projects across a range of clients and engagement types. Our consultants are solution-focused leaders who help clients develop and implement strategies for protecting and growing profitable market share, diversifying their businesses, and leveraging their assets.

Location

This is a remote position. Candidates hired into this role may work onsite in select Milliman office locations, if they prefer.

Compensation

The salary range for this role is $107,000 to $243,000, depending on a combination of factors, including, but not limited to, education, relevant work experience, qualifications, skills, certifications, location, etc. If overall experience is less than 15 years the range would be $107,000 to $217,000; for experience of greater than 15 years, the range would be $120,000 to $243,000. In addition, we offer a performance-based bonus-plan, profit sharing, and generous benefits.

Benefits

At Milliman, we focus on creating an environment that recognizes – and meets – the personal and professional needs of the individual and their family. We offer competitive benefits which include the following based on plan eligibility:

• Medical, dental and vision coverage for employees and their dependents, including domestic partners
• A 401(k) plan with matching program, and profit sharing contribution
• Employee Assistance Program (EAP)
• A discretionary bonus program
• Paid Time Off (PTO) starts accruing on the first day of work and can be used for any reason; full-time employees will accrue 15 days of PTO per year, and employees working less than a full-time schedule will accrue PTO at a prorated amount based on hours worked
• Family building benefits, including adoption and fertility assistance and paid parental leave up to 12 weeks for employees who have worked for Milliman for at least 12 months and have worked at least 1,250 hours in the preceding 12-month period
• A minimum of 8 paid holidays
• Milliman covers 100% of the premiums for life insurance, AD&D, and both short-term and long-term disability coverage
• Flexible spending accounts allow employees to set aside pre-tax dollars to pay for dependent care, transportation, and applicable medical needs

Who We Are

Independent for 75 years, Milliman delivers market-leading services and solutions to clients worldwide. Today, we are helping companies take on some of the world’s most critical and complex issues, including retirement funding and healthcare financing, risk management and regulatory compliance, data analytics and business transformation.

Milliman invests in skills training and career development, and gives all employees access to a variety of learning and mentoring opportunities. Our growing number of Milliman Employee Resource Groups (ERG’s) are employee-led communities that influence policy decisions, develop future leaders, and amplify the voices of their constituents. We encourage our employees to give back to their varied professions, including leadership in professional organizations. Please visit our web site (https://www.milliman.com/en/social-impact) to learn more about Milliman’s commitments to our people, diversity and inclusion, social impact and sustainability.

Through a team of professionals ranging from actuaries to clinicians, technology specialists to plan administrators, we offer unparalleled expertise in employee benefits, investment consulting, healthcare, life insurance and financial services, and property and casualty insurance.

Equal Opportunity

All qualified applicants will receive consideration for employment, without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.

The expected application deadline for this job is May 1, 2024.