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Specialist - Managed Care Contracting - Healthcare

McKinsey & Company

McKinsey & Company

Atlanta, GA, USA · Austin, TX, USA · Boston, MA, USA · Charlotte, NC, USA · Chicago, IL, USA · Cleveland, OH, USA · Dallas, TX, USA · Phoenix, AZ, USA
Posted on Friday, April 7, 2023

Specialist - Managed Care Contracting - Healthcare

Who You'll Work With

You’ll work in one of our US offices and be part of McKinsey’s Healthcare Practice. Our healthcare practice is home to 500+ colleagues in North America consisting of consultants, deep content and technical experts, technologists, and operational leaders. We come together, as blended and diverse consulting teams to improve healthcare. Our healthcare practice serves North American payors, providers and services companies and works with both public sector and private sector healthcare organizations.
Our practice is organized around domains, which house intellectual property and expert practitioners, Centers of Excellence, and cross-functional special teams working to bring a distinctive approach to our clients in practice priority areas like digital and analytics. This position will be a part of the Revenue Excellence domain, with distinctive capabilities in the areas of pricing, revenue cycle management, and growth.
You will be on a team supporting Managed Care Contracting efforts, including provider value proposition, payer and segment strategy, strategic pricing, terms and conditions, strategic partnerships, value-based payment models, contract negotiation strategy, and contract management. You will manage projects or workstreams that significantly improve Managed Care Contracting performance, such as supporting contract negotiations, standing up strategic pricing functions, and driving development of technology assets that help our client teams fulfill these goals.

What You'll Do

You will work directly with client leaders and front-line operators to drive change that is critical to successful realization of goals.
You will lead the day-to-day execution of a client project to successfully deliver an answer and / or solution to complex business problems while guiding and developing individual team members. You will have the opportunity to build on your proven leadership skills and leverage your interest in solving complex business problems, inspiring others, building strong relationships, and creating a true followership.
In this role, you will be supporting healthcare providers with optimizing price, improving payer contracting, and growing volume through contracting and payer partnerships. Our engagements are typically focused on topline growth solutions that leverage cutting edge assets and expertise and pricing capabilities that enable providers to excel along the full Managed Care Contracting life cycle. You will be working on topics such as strategically aligning rates with value provided, identifying opportunities to improve terms and conditions of managed care agreements, and shifting to value-based payment models. Through this effort, you will develop invaluable experience in topline growth strategy, managed care strategy, problem solving, solution development and delivery, and analytics working with leading providers across all major US markets.
We engage at a deep level across our clients’ businesses, working in small teams to build the capabilities, systems, and processes needed to deliver bottom-line results and then ensure those results are sustainable. Our work is about problem solving, coaching, and delivering lasting outcomes to our healthcare clients.


  • Undergraduate degree; advanced degree a plus, ideally in a quantitative discipline (statistics, mathematics, economics, operations research, engineering, computer science) or a healthcare discipline
  • 8+ years of professional experience in a healthcare environment with network design or Managed Care Contracting experience, such as provider value proposition, provider network design, provider engagement, payer and segment strategy, strategic pricing, terms and conditions, strategic partnerships, value-based payment models, contract negotiation strategy, and contract management.
  • History and/or exposure to managing projects or programs that significantly improved Managed Care Contracting performance, such as supporting contract negotiations, standing up strategic pricing functions, driving development of technology assets, etc.
  • Familiarity with Managed Care Contracting concepts, e.g., exposure to contractual payment mechanisms, service codes, and terms and conditions, ideally with exposure to product development or implementation
  • Enthusiasm for analytically intensive work, and learning about analytics, technology, and healthcare
  • Understanding of statistical and advanced analytics methods, e.g., descriptive statistics, predictive analytics, machine learning
  • Confidence sharing your views and perspectives with senior clients and colleagues
  • Ability to work collaboratively in a team environment
  • Comfortable traveling ~80% to client sites

FOR U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by applicable law.

Certain US states require McKinsey & Company to include a reasonable estimate of the salary range for this role. A reasonable estimate of the range for new joiners for this role in the United States is $192,000 - $192,000. Actual salaries may vary and may be above or below the range based on various factors, including, but not limited to an individual's assigned office location, experience and expertise. Certain roles are also eligible for bonuses, subject to McKinsey’s discretion and based on factors such as individual and/or organizational performance.

Additionally, McKinsey offers a comprehensive benefits package, including medical, dental and vision coverage, telemedicine services, life, accident and disability insurance, parental leave and family planning benefits, caregiving resources, a generous retirement program, financial guidance, and paid time off.

FOR NON-U.S. APPLICANTS: McKinsey & Company is an Equal Opportunity employer. For additional details regarding our global EEO policy and diversity initiatives, please visit our McKinsey Careers and Diversity & Inclusion sites.

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Job Skill Group - CSS Associate
Job Skill Code - PS - Specialist
Function - Operations
Industry - Healthcare Systems & Services
Post to LinkedIn - Yes
Posted to LinkedIn Date - Mon Mar 06 00:00:00 GMT 2023
LinkedIn Posting City - Washington DC
LinkedIn Posting State/Province - Virginia
LinkedIn Posting Country - United States
LinkedIn Job Title - Specialist - Managed Care Contracting - Healthcare
LinkedIn Function - Consulting;Finance;Health Care Provider
LinkedIn Industry - Hospital & Health Care;Management Consulting
LinkedIn Seniority Level - Associate