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Posted On 08.31.09

I got the idea for this post from a question that Marquis received on his blog. By got the idea, I mean, pretty much am writing the same post that Marquis did. With health care at 17% of the US GDP and a global industry, it will attract attention from MBA's with both long-term interest and those whose only health care experience is flossing. If animal husbandry was 17% of the United State's GDP, MBA's would be discussing bull semen and breeding techniques.

Digressions aside, one does not need prior health care experience for most post-MBA positions in health care. Most health care sectors are very interested in techniques from other industries, such as financial services, manufacturing, and retail, so non health care experience will actually be appreciated. Any process improvement skills, such as Six Sigma or the methodology of the week, will be appreciated. Additionally, direct to consumer marketing, communication, or even talking will be in demand as health care is moving from a whole sale model to a retail model. Consulting or finance is the exception where you probably need health care experience to distinguish yourself from all the others and well, asking why they call it an Emergency Room when it has more than one room, won't impress anyone.

As an MBA, you probably won't be performing a colonoscopy or prepping someone for surgeries so what kind of jobs do people do in health care?

  1. The pharmaceutical or biotech marketing is still the #1 source of jobs. And I'm not even including the growing number of medicinal marijuana dispensaries. Whether it's brand management or business development or old fashioned four P's marketing, MBA's are generally hired to explain why someone should buy a drug. The difference between the pharmaceutical and biotech industry is that the pharma is a more corporate environment while biotech is more of a start-up environment. As a result, more MBA's tend to gravitate towards biotech because anything associated with the word start-up sounds cool.
  2. Health insurance has the biggest range of MBA jobs. There are product manager, business development, strategy, marketing, finance, and operations positions. Companies range from national carriers like United, Aetna, and Cigna to local carriers like Harvard Pilgrim to integrated delivery systems like Kaiser Permanente. Health insurance probably looks more like a typical business in terms of organization and understanding of the MBA background.
  3. Health Care IT opportunities are always growing. For the last 10 years, people tell me that knitting is really starting to just become popular with guys. This has demonstrated that something can be up and coming and ready to burst on the national scene for a very long time. Biotech is like that as well as opportunities to use IT to improve health care delivery. Lots of promise that hasn't quite been delivered yet. GE has a suite of health care IT products ranging from imaging to Electronic Medical Records (EMR). EMR is the most established opportunities with Cerner and Epic being the largest players in the field. Personal Health Records (PHR) represent the next wave. Google is involved with a version of PHR's which is really more a data depository and doesn't have the consumer-driven aspects that let someone manage their own health which is a key part of the PHR. Web MD is the most known company in this field. Another part of the Healthcare IT sector is vendors that help hospitals, health plans, and physicians do their billing or claims processing more efficiently. Trizetto is a big player in claims processing systems for health plans and Athena Health is the one company that I know that's involved in physician billing. Essentially, there is a lot of IT opportunity to help the health care players bill more efficiently.
  4. There actually are not a lot of MBA opportunities in care delivery even seniors. Organizations that deliver health care like hospitals, physician practices, or anything that serves the elderly have maybe one position in the entire organization for an MBA. Most are run by nurses or doctors and look for either direct operations experience or a clinical background. These organizations understand the value of an MBA but can't support the position within their administrative structure. Either a lot of networking or some background in health care delivery is really needed to get a position in one of these organizations
  5. Get familiar with government funding. Those that are trying to stop the government from taking over health care tend to forget that the government already funds a lot of health care. The funding for Federally Qualified Health Centers (FQHC) or community health centers increased during the Bush administration and will sky rocket during the Obama administration. These are clinics make up the safety net by being paid whatever they need by Medicaid and using that money to see as many uninsured as possible. Next, state and local government look for private contractors to provide health care for everything from prisons to pregnant women. Organizations like Liberty Healthcare have made a business around this outsourcing. Finally, health plans can get additional funding for Medicare members who qualify for assistance programs so some organizations like Social Service Coordinator have created a business around signing up health plan member for these programs. An MBA who keeps track of legislation around health care funding and understands funding mechanisms will have no shortage of opportunities.

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Comments

08.31.09

Here's why the health care sector will NOT hire MBAs:

1. Care is not a product
2. Doctors aren't employees
3. Health care is heavily regulated

You're right that clinical knowledge isn't necessary, but technical knowledge of the industry is only growing more in demand.

MBA schools, like most graduate programs, are teaching you how to speak a new language; ROI, TCO, CAPM, EBIT, P/E ratios, and so on.

What they're not teaching you is language contextual to health care; HIPAA, CCHIT, HITSP, DSH, NPI, and so on. Some "niche" programs that concentrate in health care management do this (MHAs, MPHs) and there are tons of certificate programs through agencies like HFMA, ACHE and MGMA.

What we need more of is education on reform that mixes the financial/marketing/operational components of a fundamental MBA program with understanding of clinical workflow and the technical healthspeak that defines the industry.

Liaisons who can wear a manager hat, an IT hat, a pure health care hat will top commodity.

08.31.09

Hi Akshay,
There are some things that I think that we agree on but have different definitions. MBA programs that have a health care management major or classes look very similar to MHA or MPH programs. They teach the acronym soup of health care, have students who with PhD's, RN's, and MD's, or have non-clinical folks who learn it. They provide more training that a certificate program.

What's missing from your list of liason skills is a retail background of explaining what something costs, why it's worth it, and in lay terms. Health care is increasingly becoming more consumer oriented and is missing that orientation. Someone with a financial services background often has those skills as well as the IT background that you mentioned. Thus, somone can use their MBA to switch from financial services to health care.

Finally, care is not a product but some providers are looking to explain it as a product line to help position it. It's the next evolution of a Center of Excellence only focusing on the patient rather than the disease.

08.31.09

Under my list of health care IT opportunites, I missed the growing social media presence. Hello Health, the current social medial darling, is a Brooklyn-based physician group that uses social media to offer alternative ways to see the doctor without taking your clothes off.

09.01.09

Right on Dead Hedge. I'm a big fan of Jay Parkinson. Great things to come soon on that end. Another company to look at on the "free" EMR side is Practice Fusion (http://www.practicefusion.com/).

Health-Wealth type of companies are emerging fast. Revolution Health (http://www.revolutionhealth.com/) may go down that lane soon and Change Healthcare (https://www.changehealthcare.com/) exclusively concentrates on making the consumer billing process easier.

If you're interested in developments within health care, sign up for my newsletter at http://pulseofcare.com You'll get updates from a variety of sources such as the above on a regular basis.

09.01.09

Hi Akshay, I did like one of the Jay Parkinson links that you posted. I'll add those companies to the original blog post as well as check out your newsletter. Thanks for the suggestions.

01.26.11

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