Senior Population Health Strategy Consultant (Hybrid)

CareFirst BlueCross BlueShield

Resp & Qualifications

PURPOSE:
The Population Health Strategy Consultant works closely with physicians and health systems ("providers") enrolled in CareFirst's commercial and government value-based programs to understand patterns in their population's health data and effectuate practice transformation strategies that improve quality and reduce global health care costs. The Practice Consultant collaborates with internal subject matter experts to provide consulting services to physicians, key physician practice staff, executive level health system administrators, and other stakeholders to achieve program or contract goals. Participates in senior level peer workgroups to research and suggest new best practices and workflows to enhance the success of the consulting team.

We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.

ESSENTIAL FUNCTIONS:

• Practice Transformation: Employs consulting skills to manage behavior change and influence practice workflow improvements that optimize outcomes and value. Thoughtfully implements processes and technologies in practice to assure the highest state of provider readiness to participate in various CareFirst networks, government programs and other opportunities that may emerge.
• Data and Work flow Analysis: Manages aggregate performance of all value-based contracts across the market and develops/adjusts plan as needed. Conducts a thorough review of clients' opportunities, utilization patterns, and outcomes to inform provider and health system decision making. Researches any variances and seeks resolution. Model the financial impact of proposed changes in practice patterns
• Active participation in best practice development and sharing, team activities, mentoring and training and other administrative functions. Assists other Practice Consultants in dealing with challenging stakeholders. Regularly presents at Practice Consultant meetings, breakout sessions, and company meetings. Assists and participates in larger division and company initiatives.
• Market Analysis and Development: Build and manage relationships within the local health care market, understanding community health and wellness needs. Identifies opportunities to improve the access, quality and efficiency of patient care and provider communication between patient, PCP, specialist and hospital. Recruit providers and negotiate terms of value-based contracts, facilitate relationships between key stakeholders, and create medical neighborhoods that facilitate optimal patient care and communication.

SUPERVISORY RESPONSIBILITY:
Position does not have direct reports but is expected to assist in guiding and mentoring less experienced staff. May lead a team of matrixed resources.

QUALIFICATIONS:

Education Level: Master's Degree in Public Health, Health Administration, Business Administration, or related field OR in lieu of a Master's degree, an additional 6 years of relevant work experience is required in addition to the required work experience.

Experience: 4 years statistical or health data analysis.1 year Field experience in the role as Population Health Strategy Consultant within CareFirst

Preferred Qualifications:

• 2 years or more of field experience in the role as Population Health Strategy Consultant within CareFirst, post training graduation preferred
• Consulting skills and/or direct experience in a consulting role
• Experience in a clinical setting or knowledge in a clinically related field
• Project management experience
• Experience using Client Relationship Management (CRM) System(s)

Knowledge, Skills and Abilities (KSAs)

• Demonstrated ability to effectively comprehend complex data analysis.
• Solution development.
• Executive presentation skills.
• Effective written and interpersonal communication skills.
• Effective at building relationships with various levels of business professionals and/or clinicians.
• Mentoring new employees.
• Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Travel Requirements
Estimate Amount: 80% Able to travel through assigned region on a daily basis and work in the field the majority of workdays

Salary Range: $79,344 - $157,586

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

MedStar Joint Management Team

Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS:

The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.

Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship

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