Clinical Transformation Consultant - Central PA/Lehigh Valley

About the role

The job works directly with network providers to champion provider practice transformation in support of various Organization endorsed strategic care delivery models. Leads the day to day execution of projects, initiatives and significant work streams related to provider transformation and performance excellence in various health care delivery settings.

Responsibilities

• Provide hands on consultative and training services to assigned network providers and/or provider organizations including hospitals, primary care practices, specialty care practices, ancillary providers to facilitate and direct transformation activities geared towards meeting the goals of all required care delivery models.
• This is completed via baseline provider performance/practice analysis, gap assessment, team facilitation, transformation plan development, fostering of collaborative relationships between care providers and suppliers, oversight and development of educational and process improvement tools and resources required to promote the attainment of provider specific goals.
• Carry out the required consultative services via on-site field work, as well as, via various modes of off-site training models such as webinars, video conferences, etc.
• Plan and facilitate the implementation of provider site based projects and initiatives overseeing the acceleration and dissemination of best practice activities throughout the organization to ensure organizational alignment.
• Assemble pay-for-performance or other program achievement summaries and other documents that will be used within the company as well as by providers, group accounts, and the media.

Requirements

• Minimum Bachelor’s Degree in a clinical or business discipline or relevant experience and/or education as determined by the company in lieu of bachelor's degree
• 5-7 years of experience in the healthcare industry (hospital clinical operations/management, physician practice management or clinical operations, ancillary provider management or clinical operations, and/or health insurance)
• Significant knowledge of and experience with various care delivery models
• Experience in health plan provider network performance management, care/case management, provider relations, provider contracting, etc.
• Preferred MBA, MPH or other master’s level clinical degree preferred. 7-10 years of experience in a managed care, hospital or other clinical setting preferred.
• Formal Lean Six Sigma, belted designation is a plus; formal CQI, TQI, process improvement-engineering education/training desired.

Qualifications

• Ability to work in a virtual team environment-accomplishing and coordinating work remotely
• Advanced data and statistical analysis skills with demonstrated proficiency in analyzing health care information and using that information to educate health care providers on their practice/utilization patterns and to influence a change in those practice patterns
• Ability to manage client engagements including meeting deadlines for project deliverables
• Excellent organizational, time management and project management skills; Excellent written and verbal communication skills including public speaking and web based training/education experience
• Excellent interpersonal skills (consensus building, negotiation and conflict resolution skills) with the ability to interact with a variety of internal and external constituents from all levels of an organization
• Broad knowledge and understanding of the health system from the perspective of federal and commercial payers/insurers, providers, regulators, third party quality organizations, etc.
• Excellent knowledge of and working experience with various software packages such as Microsoft PowerPoint, Excel, Word, Project, etc.