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Utilization Case Management Consultant

Company: BKD
Location: Springfield
Posted on: October 14, 2020

Job Description:

ResponsibilitiesBKD's Health Care Performance Advisory Services is seeking a Senior Managing Consultant who utilizes clinical and operational skills to assess, plan, implement and monitor improvement activities for health care clients of the firm. In this role, you will engage with physicians, administrators and other clinicians to evaluate case management, utilization review, medical necessity and similar functions and discuss opportunities. You should be comfortable with reviewing, analyzing and interpreting data (produced mostly in our proprietary analytics tools- BKD Outcomes Compass---), and know how to communicate insights from the data in a concise compelling fashion. The health care industry is transitioning from volume to value which will require that the consultant have a deep understanding of current FFS processes, and embrace value-based programs. In this role you will gain experience in more than one product line and be encouraged to develop your own deliverables based on your experience and passion.

** This position may be seated out of any of the following locations: Dallas, Indianapolis, Kansas City, Springfield, or Chicago

Responsibilities may include, but are not limited to:



  • Lead projects for healthcare entities ranging from regional health care centers, private physician groups, urgent care centers, ambulatory surgery centers.
  • Create and drive work plan deliverables and timelines; coordinating project proposal development (RFP responses) and submission processes
  • Able to flexibly communicate with varied audiences, using appropriate and effective methods (written, verbal, presentation, illustration), style, grammar, and tone
  • Sought by others as a team thought leader.
  • Develop client relationships that results in follow-up work and is requested by clients for further involvement
  • Stay up to date on payment reform programs: ACO, bundled payments, MACRA, MIPS, etc.
  • Must be willing to travel approximately 50-60% of time


    QualificationsOur goal is to align prospective talent with the appropriate position to provide a rewarding career at the firm. Candidates with any level of experience beyond the listed qualifications are welcome to apply. Appropriate titles will be offered based upon experience level.



    • Bachelor's degree in nursing, informatics, business or healthcare administration preferred
    • Minimum of 7 years of relevant experience
    • Case management and/or utilization review experience
    • Clinical Documentation Specialist experience
    • Has managed a team or managed projects
    • Experience working with health care databases and/or analytic tools
    • Business development expertise
    • Consulting experience
    • CCM, ANCC-CM, or ACM Certification preferred

      Experience the BKD difference for yourself. For more information about our firm locations, visit bkd.com. BKD, LLP is an equal opportunity/affirmative action employer. Employment selection and related decisions are made without regard to age, race, color, sex, sexual orientation, national origin, religion, genetic information, disability, protected veteran status or other protected classifications.

      BKD does not accept unsolicited referrals or resumes from any source other than directly from candidates. We will not consider unsolicited referrals and/or resumes from vendors including and without limitation, search firms, staffing agencies, fee-based referral services and recruiting agencies. BKD will not pay a fee to a recruiter or agency that does not have a signed BKD vendor agreement. Any resume or CV submitted to any employee of BKD without having a BKD vendor agreement in place will be considered property of BKD. BKD will not be held liable to pay a placement fee.OverviewAt BKD, our mission is to provide rewarding career opportunities and invest in the success of our people. Through award-winning learning and development, coaching and career advocacy programs, you will have the tools to make every play count and reach your professional goals. Along the way, you will have the opportunity to influence innovation and build long-lasting relationships. As a BKDer, you will be able to learn, lead, serve and be recognized for your contributions.

      As a part of our People First culture, we invest in the well-being of our Trusted Advisors so they can provide Unmatched Client Service--. Click here to learn how we invest in our people: bkd.com/careers/our-investment-in-our-people.

      Make your next play at BKD.

      About BKDBKD, a national CPA and advisory firm, can help individuals and businesses realize their goals. Our approximately 2,900 dedicated professionals provide solutions for clients in all 50 states and internationally. BKD and its subsidiaries offer a variety of tax, accounting and consulting services and combine the insight and ideas of thought leaders in multiple industries. Learn more at bkd.com.

Keywords: BKD, Springfield , Utilization Case Management Consultant, Executive , Springfield, Missouri

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