Home
/
Management
/
Healthcare Payer Consulting Lead
Healthcare Payer Consulting Lead-March 2024
Philadelphia
Mar 28, 2025
ABOUT NTT DATA SERVICES
NTT DATA Services is a top global IT services provider with 130,000+ employees in more than 50 countries.
10,000+ employees
Consulting, Technology
VIEW COMPANY PROFILE >>
About Healthcare Payer Consulting Lead

  Req ID: 249360

  NTT DATA Services strives to hire exceptional, innovative and passionate individuals who want to grow with us. If you want to be part of an inclusive, adaptable, and forward-thinking organization, apply now.

  We are currently seeking a Healthcare Payer Consulting Lead to join our team in Philadelphia, Pennsylvania (US-PA), United States (US).

  Our Company

  NTT DATA Corporation is a top 10 global services company and part of the NTT Group, a Fortune 29 telecommunications and services company based in Japan. We operate with 60,000 professionals in 36 countries. Every day around the world we help clients explore new ways to respond to market dynamics with flexibility and speed, reduce costs with less risk, and increase productivity to enable growth.

  Health Plan Consulting Practice

  Our Health Plan Consulting team includes management consultants with expertise in various key areas of healthcare payer operations, risk adjustment, pay for performance, Stars, HEDIS, medical cost optimization, payment integrity, and value-based care. Our clients include many of the Top 20 Healthcare Payers in the USA.

  We are currently seeking an experienced and dynamic Healthcare Consulting Leader to spearhead our Payer / Health Plan practice.

  In this role you will contribute to the growth of the practice in a variety of ways including:

  Business Development:

  Leverage internal (e.g., sales teams) and external (e.g., personal networks, professional networks, analysts) channels to identify clients where our services may provide significant business value and help create multi-million-dollar relationships Create/identify opportunities within existing and new clients using visionary industry knowledge, intellectual capital, background in potential problem areas, knowledge of upcoming regulatory or market changes to create engagement opportunities Estimate sales potential, identify key clients, identify collaboration opportunities with other NTT Data BUs, actively lead pursuits and contribute to the group's business planning Work with Client Executives to build and maintain professional relationship with senior and C-level client executives and expand professional network in client organizations Anchor new and existing client accounts, and interfacing on engagement-level client concerns

  Practice Development:

  Define and develop practice offerings, create go-to-market materials including determining where and how to compete to enable practice growth Actively participate in defining the portfolio of projects within the Health Plan practice

  Proposal Development:

  Lead teams to prepare large proposals and program plans, facilitate differentiators (e.g., specific consulting frameworks, intellectual property etc.), articulate value proposition, review and fine tune the financials, and lead proposal presentations in order to create a compelling proposition for the client to engage NTT Data Analyze the probability of winning the deal & the criticality of the deal, as well as appropriately prepare for negotiations on terms and conditions of the engagement with the client and obtain confirmation and approval from all internal stakeholders to ensure timely and smooth closure of the deal

  Engagement Management:

  Lead consulting engagement planning, budgeting, resource mobilization and deliverable definition Lead project launch to ensure that the engagement is kicked off smoothly Review the progress periodically with the team and the client, appropriately intervene in critical situations, and guide the team to address critical issues to ensure that the client realizes the business value articulated at the time of the deal closure Actively participate in project governance including Steering Committee and Strategic Business Review sessions Build high morale and a highly effective teams and position programs for success

  Thought Leadership:

  Develop practice service offerings, solutions, and methodologies. Develop point of views (POVs) and speak at events such as healthcare conferences, establishing self as an industry thought leader. Author multiple articles that advance the quality of healthcare services Mentor others to publish in healthcare periodicals actively

  Recruitment & People Management:

  Demonstrate the ability to attract, retain and develop top consulting talent and the next generation of NTT Data Consulting leaders. identify upcoming skill needs and potential sourcing pools, interview candidates, influence a favorable perception of NTT Data as an employer, and decide on offer details to ensure that the practice has the appropriate skills required. Perform the role of counselor and coach, provide feedback and guidance, actively participate in performance reviews, provide leadership and act as role model for team members.

  Basic Qualifications:

  12+ years of Big 4 or equivalent payer/health plan advisory management consulting experience 10+ years in healthcare payer operations, value-based care, and risk adjustment Minimum 5 years' experience in leading consulting practice or customer engagement/delivery operations Knowledgeable of Medicare Star Ratings, HEDIS, and medical cost management methodologies with context of value-based care Experience in key areas of healthcare payer operations, risk adjustment, pay for performance and payment integrity Bachelor's degree in healthcare administration, Business, or a related field

  Preferences

  MBA is preferred

  About NTT DATA Services

  NTT DATA Services is a global business and IT services provider specializing in digital, cloud and automation across a comprehensive portfolio of consulting, applications, infrastructure and business process services. We are part of the NTT family of companies, a partner to 85 % of the Fortune 100.

  NTT DATA Services is an equal opportunity employer and considers all applicants without regarding to race, color, religion, citizenship, national origin, ancestry, age, sex, sexual orientation, gender identity, genetic information, physical or mental disability, veteran or marital status, or any other characteristic protected by law. We are committed to creating a diverse and inclusive environment for all employees. If you need assistance or an accommodation due to a disability, please inform your recruiter so that we may connect you with the appropriate team.

  Nearest Major Market: Philadelphia

  Job Segment: Telecom, Telecommunications, Consulting, Management Consulting, MBA, Technology, Management

Comments
Welcome to zdrecruit comments! Please keep conversations courteous and on-topic. To fosterproductive and respectful conversations, you may see comments from our Community Managers.
Sign up to post
Sort by
Show More Comments
SIMILAR JOBS
Senior Manager, Detection Engineering
Reports to: Director of Research and Development Location: Remote US Compensation Range: $190,000 to $210,000 base plus bonus and equity   What We Do:  Founded in 2015 as a fully remote company by fo
Head of Institutional Sales, Hong Kong and Greater China
Capital Group Capital Group is a privately owned, independent investment manager that is one of the world's largest active managers with $2.2tn in AUM (at end Dec 2022). Our company's mission is to i
Manager-Client Accounting
Position: Manager-Client AccountingLocation: Hong Kong   The Maples Group is a standard bearer in financial and legal services, trusted by many of the world’s largest hedge fund managers, private equ
Driver Manager
Current Living Spaces Employees: Please apply via your internal Workday Account. At Living Spaces, we take pride in being an environment that cultivates the best in our Team Members. From our corpora
Assistant Construction Manager - Maricopa
Responsibilities Meritage Homes has an opportunity available as an Assistant Construction Manager in the City of Maricopa for personable individuals ready to take their careers to the next level! Spe
Head of Commercial Enablement & Organization
Position Overview: MediaRadar offers comprehensive advertising analysis for over 3.1 million brands across multiple media platforms including TV, digital, mobile, email, events, social media, and pri
BDC Manager
Want to work for one of the top automotive companies in the DMV? Join Jim Koons Automotive Companies! We are seeking a BDC Manager to join our award-winning team at our Wilmington Lexus location! We
Correctional Captain
Introduction Looking to advance in your career with the Connecticut Department of Correction? If so, we invite you to check out this opportunity! The Department of Correction (DOC) is looking to hire
Assistant Manager, Specimen Processing
Company Overview  The people of Memorial Sloan Kettering Cancer Center (MSK) are united by a singular mission: ending cancer for life. Our specialized care teams provide personalized, compassionate,
Stage Manager
Position Information Job Category Casual Wage Position Title Stage Manager Full Time/Part Time Part Time Division Dean of the Faculty Department University Theater Hiring Wage/Salary Range $20/hr Dep
Copyright 2023-2025 - www.zdrecruit.com All Rights Reserved