Healthcare Consultant, Population Health & Payment Strategy - Albany, NY/Remote

About the role

Solventum is a healthcare company dedicated to improving lives through innovative solutions. We partner with healthcare professionals to solve complex challenges and drive better outcomes.

Responsibilities

• Tap into curiosity and collaborate with diverse colleagues to make an impact by addressing complex client challenges and delivering innovative solutions.
• Directly impact the development and implementation of innovative payment initiatives with client partners.
• Develop and communicate strategies, policies, and business requirements; translate them into technical specifications; and oversee data analysis, reporting, and presentation development for internal and external audiences.
• Manage multiple projects of varying scope concurrently, lead client meetings, resolve issues promptly, and update clients and senior leaders on progress and results.
• Examine client data, pinpoint trends and anomalies to provide recommendations and develop effective remediation strategies.
• Provide expert-level consulting, training, and support on Solventum classification products to clients and internal teams.
• Drive discussions on market trends, lead innovative consulting initiatives, and act as a subject matter expert on industry topics and Solventum products both internally and externally.

Requirements

• Bachelor’s Degree or higher from an accredited university AND 8 years of experience in the healthcare field OR High School Diploma/GED or higher from an accredited institution and a minimum of 12 years of experience in the healthcare field in lieu of the bachelor’s degree education requirement
• Eight (8) years of experience in one or more of the following areas: healthcare consulting, healthcare payment, healthcare administration, health plans, and/or data analysis
• Three (3) years of experience working with claims and/or clinical data

Qualifications

• Master's degree in healthcare field or business administration
• Experience with one or more of the HIS proprietary patient classification tools such as Solventum™ CRG, Solventum™ PPEs, Solventum™ APR DRG, and Solventum™ EAPG and risk adjustment concepts
• Experience with commercial, Medicaid and Medicare health plan operations
• Experience with payment consulting, payment operations, and/or provider contract negotiations
• Experience with quality reporting, quality program design, and gaps identification payment integrity, risk adjustment management, value-based purchasing, and/or accountable care organizations
• Experience developing value-based strategies focusing on improving cost and quality outcomes
• Experience merging clinical and claims data
• Experience with healthcare claims data and developing technical specifications

Benefits

Competitive compensation, comprehensive benefits package, and a supportive work environment are provided to eligible employees.

Pay

The expected compensation range for this position is $125,600 - $172,700, which includes base pay plus variable incentive pay, if eligible.

Schedule

This position can be worked remotely or on-site, with up to 25% domestic or international travel.