Overview:
With over 50 years of proven success, ECG, ranked as a Best Small Firm to Work For 2024 by Consulting Magazine, is the most experienced healthcare consulting firm in the U.S. Working exclusively in this space, our people prove—over and over again—their ability to solve challenges for providers and achieve better outcomes for patients. Across our eight office locations, we’re seeking individuals who will show the courage to find innovative solutions and make a direct impact on the delivery of healthcare services across our country.

WHAT’S IN IT FOR YOU: CONSULT WITH PURPOSE

At ECG, our consultants are working to create a healthier future for every patient. By creating partnerships with our clients and asking the tough questions, we provide honest, tailored solutions that empower them to maximize their resources. Together with our clients, we’re making healthcare more accessible, sustainable, and effective for the patients and communities they support. We’re looking for individuals to join our passionate team, combining experience and courage to make impactful changes in healthcare. ECG is committed to ensuring a supportive, inclusive, and equitable work environment that embraces DEI, where we recognize performance, communicate openly and transparently, and value work-life balance.
Join Our Payer Strategy & Contracting Division
Our PSC Division guides clients through payer strategy development, reimbursement analysis and design, contract negotiations, and other strategic and operational issues affecting commercial and government revenue streams. As part of our team, you’ll help our clients optimize their managed care contract portfolios and develop successful value-based reimbursement strategies.
PSC engagements include work with inpatient, outpatient, professional, behavioral health, post-acute, and ancillary providers, as well as payers. We assist clients primarily in the three areas below.
Contracting and Reimbursement

Our Contracting and Reimbursement practice is an industry leader in healthcare payment reform and accountable care strategies for large, complex healthcare organizations, including major health systems and provider-owned health plans. We help our clients:

• Develop innovative payment approaches.
• Negotiate contracts.
• Devise reimbursement strategies.
• Improve revenues.

Value- and Risk-Based Payment Programs

We offer our clients comprehensive value- and risk-based payment program development services, including planning, implementing, and optimizing value-enhancing care models. Common projects include:

• Value-based readiness assessments and payment design.
• Care model and reimbursement strategy.
• Medicare Shared Savings Program, Accountable Care Organization (ACO) REACH, or commercial ACO development.
• Clinically integrated or regional affiliate network development.
• Assistance with Medicaid managed care program participation.
• Patient-centered medical home transformation.
• Population health service organization establishment.
• Support for participation in grant-funded or governmental programs.

Payer Services

Our Payer Services practice advises traditional and provider-owned insurance companies in areas such as:

• Commercial insurance.
• Medicare Advantage.
• Medicaid managed care.
• Third-party administrator services.
• Provider network performance.

YOUR RESPONSIBILITIES MAY INCLUDE

• Gathering and synthesizing data from various sources (e.g., national surveys, proprietary research, client interviews, industries, markets).
• Preparing analyses related to provider claims data, price transparency, and other market data sources.
• Building flexible, dynamic, and scalable models to analyze reimbursement terms, project the impact of contract changes, and forecast market changes, preparing scenarios for consulting efforts related to delivery and business development.
• Enhancing existing models and capabilities built using SQL, primarily with some use of Python in certain models or scenarios.
• Performing complex analyses on big data, including cleaning, preparing, and interpreting.
• Communicating market insights to the Payer Strategy & Contracting consulting team and supporting business development efforts.
• Partnering with the Payer Strategy & Contracting consulting team to gather requirements related to data analytics.
• Developing, configuring, and maintaining interfaces to exchange data among Power BI, SQL databases, and other cloud-based applications.
• Developing new and innovative methodologies and approaches.
• Providing analytics and contract modeling education and training to PSC consultants.