Population Health Strategy Consultant (Hybrid)

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.

Responsibilities

• 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.
• 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. Models the financial impact of proposed changes in practice patterns.
• Builds and manages 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.
• Recruits providers and negotiates terms of value-based contracts, facilitates relationships between key stakeholders, and creates medical neighborhoods that facilitate optimal patient care and communication.
• Active participation in best practice development and sharing, team activities, and administrative functions.

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: 2 years health care experience.
• Preferred Qualifications: 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), experience working with Specialist Providers, specifically Gastroenterology and Orthopedics, knowledge, skills and abilities (KSAs).

Skills and Abilities

• 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.
• 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.

Benefits

We offer a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).

Department

Practice Transformation + Care

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.

Federal Disc/Physical Demand Note

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.