Provider Success Consultant - Pay for Quality

Requirements

• Proven experience in consulting within the healthcare industry.
• Experience with Medicaid and Medicare plans strongly preferred.
• Strong understanding of quality-focused care principles and practices.
• Excellent analytical skills with the ability to interpret complex data and make strategic decisions.
• Experience with Salesforce or similar CRM platforms is preferred.
• For candidates working in person or virtually in the below locations, the salary* range for this specific position is $71,600 to $118,140 .
• Locations : Illinois; Minnesota; New York; Cleveland, OH and Columbus, OH.

Benefits

Additional Information

Anticipated End Date: 2026-06-29 Position Title: Provider Success Consultant - Pay for Quality Job Description: Care Consultant - Provider Success (P4Q) Location: Hybrid 1- This role requires associates to be in-office 1 - 2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. Note: This position will require occasional travel to nearby provider locations as needed. East Coast or Central Time Zones preferred. The Care Consultant is responsible for fostering long-term partnerships with our providers and driving enhanced patient outcomes. We are seeking a dedicated and experienced Provider Success Consultant to join our team and drive the achievement of value-based care in Medicare and Medicaid lines of business. The ideal candidate will be responsible for consulting with providers, conducting assessments, and deploying interventions to enhance capabilities and performance. This role involves a variety of tasks such as strategy development, implementation support, training, and data analysis to ensure the success of our provider partners. If you are passionate about transforming healthcare delivery and possess the expertise to help providers succeed in quality improvement programs, we invite you to apply for this exciting opportunity! How you will make an impact: Comprehensive Provider Assessments: Conduct detailed evaluations of provider practices to determine their current capabilities and identify key areas for growth and improvement. Consulting Support Model: Engage in a continuous process that includes assessment, root cause analysis, strategy development, implementation, and outcomes tracking for each provider. Implementation Support: Assist providers with executing action plans focused on population health management, patient satisfaction, and optimizing quality performance. Collaboration and Facilitation: Lead collaborative meetings with provider staff and internal stakeholders to ensure alignment and successful deployment of strategic initiatives. Educational Initiatives: Create and deliver tailored learning opportunities to aid providers in implementing recommended interventions effectively. Training in Technology: Educate providers on using proprietary tools, data, and technology to improve performance in critical metrics, driving effective and efficient care. Data Analytics: Utilize data analytics to continuously monitor and track the key performance metrics for assigned providers, ensuring data-driven decision-making. Documentation and Reporting: Accurately document all action plans, interventions, and provider activities in Salesforce to maintain comprehensive records and reporting capabilities. Relationship Development: Cultivate and maintain strong, long-term relationships with physicians, providers, and healthcare systems to support quality improvements within the health plan contract. Advisory Role: Advise executives on developing segment-specific strategies in areas such as incentive programs, quality management, and other operational areas impacting provider success. Independent Decision Making: Exercise independent judgment on complex issues, working under minimal supervision to evaluate variable factors and determine optimal courses of action. Minimum Requirements: Requires a BA/BS and minimum of 3 years health care experience; or any combination of education and experience, which would provide an equivalent background.

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