Senior Consultant, Healthcare Strategy – Transformation

• We are building out our team with Senior Consultants who have a strong understanding of how healthcare payer organizations operate, especially in the commercial market, and how reimbursement, payment structures, and policies influence decisions and outcomes.
• Candidates may bring payer strategy/transformation experience (enterprise strategy, operating model, performance improvement) and/or payer operations/payment experience (claims/payment functions, analytics, policy-informed operations), with the ability to lead work streams and coach others.
• Lead defined work streams within healthcare strategy and transformation engagements, owning the day-to-day execution, analytic outputs, and storyline development to ensure high-quality, on-time delivery with minimal oversight.
• Translate ambiguous client needs into structured problem solving: frame the problem, develop hypotheses, design the workplan, and drive execution (including task planning, analysis, synthesis, and risk/issue escalation).
• Apply commercial payer/provider expertise to federal health challenges, bringing a pragmatic perspective on how reimbursement, payment structures, and policy-driven incentives influence operations, provider behavior, and performance outcomes.
• Perform and guide analysis to insight: collect/clean data, conduct quantitative and qualitative analyses, and turn findings into decision-ready implications (e.g., trend insights, root cause drivers, opportunity sizing, and prioritization).
• Develop executive-ready deliverables (PowerPoint and brief written products) that clearly communicate “so what” insights—using strong narrative structure, exhibits, and concise recommendations.
• Support operational and performance transformation by mapping current state, identifying pain points, designing target-state processes/operating models, and defining governance and metrics (including performance measurement and reporting approaches).
• Facilitate stakeholder engagement: plan and lead working sessions, interviews, and workshops; synthesize inputs; and manage workstream communications with client and internal stakeholders.
• Coach and mentor junior staff through thoughtful delegation, quality review, and actionable feedback, raising the bar on analytical rigor and client-ready communication.
• Contribute to internal capability building (templates, accelerators, thought leadership) and, as needed, support proposals/capture efforts across the firm.

• Bachelor’s degree.
• 3+ years of experience in consulting and/or healthcare industry roles.
• Demonstrated experience in healthcare strategy and/or transformation, with exposure to payer/provider, operating models, or performance improvement.
• Strong understanding of commercial payer/provider environments, including reimbursement/payment fundamentals and how policy and payment structures affect outcomes.
• Strong analytical skills and comfort working with data; advanced Excel proficiency required.
• Proven ability to lead work streams, build client-ready deliverables, and communicate effectively (written and verbal).
• Ability to obtain a Public Trust clearance (i.e. US Citizenship required)
• Ability to travel as needed (up to 25%).

Demonstrates expertise in healthcare payer strategy and transformation, with strong analytical skills and the ability to lead work streams and develop executive-ready deliverables. Proficient in translating complex client needs into structured problem-solving and actionable insights.

• Healthcare Strategy
• Payer Operations
• Advanced Excel Proficiency
• Client-Ready Deliverables
• Stakeholder Engagement

• Data Analysis
• Quantitative Analysis
• Qualitative Analysis
• Performance Improvement
• Operating Models
• Reimbursement Fundamentals
• Payment Structures
• Analytic Outputs
• Problem Solving
• Governance Metrics

• Coaching
• Communication
• Leadership
• Collaboration
• Mentoring

• Public Trust Clearance

• Healthcare Payer Organizations
• Commercial Market
• Claims Functions
• Policy-Informed Operations
• Performance Measurement
• Stakeholder Management
• Transformation Engagements
• Operational Transformation
• Client Engagement
• Enterprise Strategy

• Power Point