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Strategy and Operations Health Plan Manager

Deloitte  - New York, NY
Monday, November 02, 2009



Deloitte Consulting LLP

Deloitte Consulting LLP ("Deloitte Consulting") is one of the nation's leading consulting firms for business strategy, operations, technology and human resources planning. We bring together a strong combination of experience, scale and capabilities to help clients address their most complex business problems. The organizational structure of our parent organization, Deloitte LLP ("Deloitte") and our collaborative approach integrate our consulting services with other Deloitte & Touche USA subsidiaries offering tax services, financial advisory services, and risk management capabilities. Clients depend on us for straightforward advice and results that create value.

Strategy & Operations

Executable strategy requires fusing insightful thinking with disciplined execution to achieve breakthrough performance .

Today, senior executives grapple with attaining profitable growth, strategically managing costs and intelligently navigating risk. Such challenges require more than identifying new possibilities and making tough choices. They also require bridging the gap between vision and execution.

Our Strategy and Operations teams bring deep industry experience, rigorous analytical capabilities and a pragmatic mindset to our clients' most complex business problems. Our strategy capabilities span corporate and business unit strategy, M&A strategy, and sales and marketing. Our operational capabilities reflect the unique issues facing manufacturing organizations, service businesses and infrastructure operations. These are joined with capabilities in finance, performance management and business restructuring.

Our professionals are aligned with an S&O service line to promote the development of deep functional skills & experiences and to maximize our ability to tailor solutions to solve our clients' business issues. Our Strategy & Operations service lines include:

• Strategy
• Finance
• Integration, Divestiture & Restructuring
• Service Operations
• Manufacturing Operations
• Infrastructure Operations
• General Management

Health Plans

Health Plans face a number of unique environmental pressures that affect the way they will conduct business today and in the future - among them a need for increased privacy and security, an intense focus on risk management, access to capital, efforts to consolidate and streamline IT functions, the launch of new consumer-driven business models, managing chronic diseases through medical management practices, maximizing e-business-driven platforms, implementing health plan-specific customer relationship management tools and complying with increasing financial and transactional legislation. Our healthcare professionals can help clients address these and other challenges in today's complex health care environment.

Strategy: Our Strategy service line focuses within industry segment (health plan) on the issues of growth, margin, acquisitions, strategic risk management, and planning and execution. We assist our clients to achieve and sustain profitable organic and inorganic growth. Additionally, we simplify the customer experience by helping our clients effectively initiate, grow and sustain profitable relationships with customers.

Service Operations: Our Service Operations service line works with clients across industries and sectors to drive business value through end-to-end delivery of solutions based on "Heart of the Business" operational improvements. We improve our clients' profitability and business productivity by enhancing core elements of the business model, creating value through process simplification, operating cost reduction and service improvement. Health Plan core operations includes enrollment, fulfillment, billing, pharmacy benefit management, claims processing, customer relationship management, and network management.

Manager:

* Managers will lead and deliver large, complex client engagements that identify, design, and implement creative business and technology solutions for large health plan companies. Projects cover a broad area of health plan core operations such as enrollment, fulfillment, billing, pharmacy benefit management, claims processing, customer relationship management, and network management.
* Manager level responsibilities include: providing service excellence by identifying key client business issues, determining client needs by supplementing the standard assessment techniques and tools with innovative approaches, evaluating and validating analysis and developing recommendations for the client in the context of the overall engagement.
* Managers implement and oversee the quality of deliverables and effectively manage the team and day-to-day relationships to ensure exceptional performance.
* Managers participate in the development and presentation of proposals for business development activities.
* Managers can lead small engagements or components of large, complex engagements.
* A minimum of 6 years consulting and/or industry experience is required.
* A Bachelor's Degree is required.

In addition, successful Managers will also have the following preferred skills:

* Strong oral and written communication skills, including presentation skills (MS Visio, MS PowerPoint).
* Strong problem solving and troubleshooting skills with the ability to exercise mature judgment.
* Eagerness to mentor junior staff.
* An advanced degree is preferred.

About Deloitte

As used in this document, “Deloitte” means Deloitte LLP and its subsidiaries. Please see www.deloitte.com/us/about for a detailed description of the legal structure of Deloitte LLP and its subsidiaries.Deloitte LLP and its subsidiaries are equal opportunity employers.

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