Director, Payment Transformation

Historically, the travel requirement for this position has ranged from 80-100%. The safety and well-being of our people continues to be the top priority, and our decisions around travel are informed by government COVID-19 response directives, recommendations from leading health authorities, and guidance from a number of infectious disease experts. For now, all KPMG business travel, international and domestic, is currently restricted to client-essential sales/delivery activity only. At some point in the future and with the safety of people as the critical factor, the travel requirement will likely increase, possibly to previous levels, but KPMG is committed to balancing client requirements with new delivery capabilities.

The KPMG Advisory practice is currently our fastest growing practice. We are seeing tremendous client demand, and looking forward we don't anticipate that slowing down. In this ever-changing market environment, our professionals must be adaptable and thrive in a collaborative, team-driven culture. At KPMG, our people are our number one priority. With a wealth of learning and career development opportunities, a world-class training facility and leading market tools, we make sure our people continue to grow both professionally and personally. If you're looking for a firm with a strong team connection where you can be your whole self, have an impact, advance your skills, deepen your experiences, and have the flexibility and access to constantly find new areas of inspiration and expand your capabilities, then consider a career in Advisory.

KPMG is currently seeking a Director in Customer and Operations for our Health Care Consulting practice.

Responsibilities:

• Demonstrate a solid acumen of engagement with senior and executive leadership in establishing strategy, vision, and approach for Value Based Payment models from ideation through implementation; act as a key stakeholder in supporting market positioning and business development activities within the healthcare payment transformation market
• Collaborate with internal clinical, technical, and information management subject matter stakeholders and partners to identify and deliver a collaborative framework to support a transformation to patient-centered, high-quality, cost-effective care models
• Design and manage strategy, planning, and strategic alignment of available industry and tailored performance measurement reporting and reward programs to include leadership of measure determination, target setting, and analysis of alternative payment models
• Support the review, implementation, and ongoing management of Value Based Payment models through consistent and uniform development of analysis to determine the success of leading capability models for executive client leadership across state and commercial payer markets
• Maintain experience in network contracting and the implementation of contractual arrangements with outside entities including provider networks and other health, behavioral, or social payment organizations
• Implement and direct foundational project and program management processes for complex projects; liaise with necessary supports for organizational change management activities including stakeholder engagement and training to internal and external project stakeholders for the design and implementation of alternative payment schemas

Qualifications:

• Minimum ten years of recent, senior-level experience directly aligned to the design, implementation, and operations of a variety of Value Based Payment models; minimum five years of recent experience managing complex projects and multi-disciplinary teams including a variety of skillsets and competencies along with minimum five years of recent data analysis experience, including working with large claim sets and systems
• Bachelor's degree in business administration, healthcare administration, advanced analytics, actuarial science, or a relevant educational topic area from an accredited college or university
• Maintain experience in payment contracting with payer and provider networks.
• Travel may be up to fifty to seventy-five percent
• Applicants must be currently authorized to work in the United States without the need for visa sponsorship now or in the future

KPMG complies with all local/state regulations regarding displaying salary ranges. If required, the salary range(s) are displayed via the URL below. The range is specifically for those potential hires who will work in the location(s) listed. Any offered salary is determined based on relevant factors such as applicant's skills, performance, job responsibilities, prior relevant experience, certain degrees and certifications and market considerations. In addition, the firm is proud to offer a comprehensive, competitive benefits package, with options designed to help you make the best decisions for yourself, your family, and your lifestyle. Our Total Rewards package includes a variety of medical and dental plans, vision coverage, disability and life insurance, 401(k) plans, and a robust suite of personal well-being benefits to support your emotion and mental health. KPMG provides personal days off per fiscal year depending on job classification, standard work hours and years of service. Additionally, each year the firm publishes a calendar of holidays to be observed during the year. Available benefits are based on eligibility.

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KPMG LLP (the U.S. member firm of KPMG International) offers a comprehensive compensation and benefits package. KPMG is an affirmative action-equal opportunity employer. KPMG complies with all applicable federal, state and local laws regarding recruitment and hiring. All qualified applicants are considered for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, citizenship status, disability, protected veteran status, or any other category protected by applicable federal, state or local laws. The attached link contains further information regarding the firm's compliance with federal, state and local recruitment and hiring laws. No phone calls or agencies please.

KPMG does not currently require partners or employees to be fully vaccinated or test negative for COVID-19 in order to go to KPMG offices, client sites or KPMG events, except when mandated by federal, state or local law.  In some circumstances, clients also may require proof of vaccination or testing (e.g., to go to the client site).  

Salary : $173,800 - $289,900