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Manager, Healthcare Payer Transformation

4 months ago

Atlanta, Georgia, United States KPMG Full time
KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand, and looking forward we do not anticipate that slowing down. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility and leading market tools, we make sure our people continue to grow both professionally and personally. If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory.

KPMG is currently seeking a Manager in Transformation Delivery for our Consulting practice.

Responsibilities:
  • Demonstrate a solid acumen of engagement with senior and executive leadership in establishing strategy, vision, and approach for alternative payment models from ideation through implementation; act as a key stakeholder in supporting market positioning and business development activities within the healthcare payment transformation market
  • Collaborate with internal clinical, technical, and information management subject matter stakeholders and partners to identify and deliver a collaborative framework to support a transformation to patient-centered, high-quality, cost-effective care models
  • Design and manage strategy, planning, and strategic alignment of available industry and tailored performance measurement reporting and reward programs to include leadership of measure determination, target setting, and analysis of alternative payment models
  • Support the review, implementation, and ongoing management of alternative payment models through consistent and uniform development of analysis to determine the success of leading capability models for executive client leadership across state and commercial payer markets
  • Maintain experience in network contracting and the implementation of contractual arrangements with outside entities including provider networks and other health, behavioral, or social payment organizations
  • Implement and direct foundational project and program management processes for complex projects; liaise with necessary supports for organizational change management activities including stakeholder engagement and training to internal and external project stakeholders for the design and implementation of alternative payment schemas
Qualifications:
  • Minimum five to seven years of recent, senior-level experience directly aligned to the design, implementation, and operations of a variety of alternative payment models; minimum five years of recent experience managing complex projects and multi-disciplinary teams including a variety of skillsets and competencies along with minimum five years of recent data analysis experience, including working with large claim sets and systems
  • Bachelor's degree in business administration, healthcare administration, advanced analytics, actuarial science, or a relevant educational topic area from an accredited college or university
  • Maintain experience in payment contracting with payer and provider networks.
  • Travel may be up to fifty to seventy-five percent
  • Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future
KPMG complies with all local/state regulations regarding displaying salary ranges. If required, the ranges displayed below or via the URL below are specifically for those potential hires who will work in the location(s) listed. Any offered salary is determined based on relevant factors such as applicant's skills, job responsibilities, prior relevant experience, certain degrees and certifications and market considerations. In addition, the firm is proud to offer a comprehensive, competitive benefits package, with options designed to help you make the best decisions for yourself, your family, and your lifestyle. Available benefits are based on eligibility. Our Total Rewards package includes a variety of medical and dental plans, vision coverage, disability and life insurance, 401(k) plans, and a robust suite of personal well-being benefits to support your mental health. Depending on job classification, standard work hours, and years of service, KPMG provides Personal Time Off per fiscal year. Additionally, each year the firm publishes a calendar of holidays to be observed during the year and provides two firmwide breaks each year where employees will not be required to use Personal Time Off; one is at year end and the other is around the July 4th holiday. Additional details about our benefits can be found towards the bottom of our KPMG US Careers site at " Benefits & How We Work ".

Follow this link to obtain salary ranges by city outside of CA:

KPMG LLP (the U.S. member firm of KPMG International) offers a comprehensive compensation and benefits package. KPMG is an affirmative action-equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, citizenship status, disability, protected veteran status, or any other category protected by applicable federal, state or local laws. The attached link " ? "contains further information regarding the firm's compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please.

KPMG does not currently require partners or employees to be fully vaccinated or test negative for COVID-19 in order to go to KPMG offices, client sites or KPMG events, except when mandated by federal, state or local law. In some circumstances, clients also may require proof of vaccination or testing (e.g., to go to the client site).

KPMG recruits on a rolling basis. Candidates are considered as they apply, until the opportunity is filled. Candidates are encouraged to apply expeditiously to any role(s) for which they are qualified that is also of interest to them.