Hybrid Value-Based Care Consultant

at Highmark Health

• Job title: Value-Based Care Consultant
• Job type: Full Time
• Experience level: Mid level, Senior
• Salary: $3,641 - $5,736 per hour
• Degree requirement: Bachelor's Degree
• Location requirements: Hybrid, Pittsburgh, United States

About the role

• Value-Based Care Consultant implementing clinical integration and VBR optimization initiatives for health care outcomes. Collaborating with practices, regional teams, and stakeholders for quality improvement.

Responsibilities

• Provide training to assigned practices and/or institutes to utilize and understand CIN cost/utilization reports and use of analytics technology.
• Perform ongoing in-depth analyses of practice performance reports and other data to identify opportunities, develop practice-specific action plans, and implement strategies to achieve CIN VBR goals.
• Within their assigned CIN region, provide training and foster adoption of optimized workflows, improved HER technology utilization, and education on regional quality cost and utilization opportunities.
• Work collaboratively with regional operations team and Local Advisory Council (LAC) leaders to develop POD-specific goals and clinical integration strategies.
• Prepare LAC presentations and provide progress reports based on regional goals.
• Actively participate in regional quality councils (if applicable within assigned region).
• Perform practice capability assessments and develop comprehensive analysis of findings.
• Serve as the liaison for care path implementation and care management programs (ECCM) by facilitating introduction and implementation of these services within the practices.
• Participate in the development and delivery of regional practice manager educational programs, webinars, and dissemination of best practice workflows and strategies.
• Actively participate and contribute in regional CIN operations meetings, institute leadership meetings, and corporate team meetings.
• Other duties as assigned or requested.

Requirements

• Bachelor’s degree in health-related field or relevant experience and/or education as determined by the company in lieu of bachelor's degree.
• 5 years of population health management principles or related clinical quality or practice operations experience
• 1 year of pay for value programs/payer contracts experience (Preferred)
• 1 year of experience with Patient-Centered Medical Home principles (Preferred)
• PA Registered Nurse license (Preferred)

Benefits

• Health insurance
• 401(k) matching
• Paid time off
• Flexible work arrangements
• Professional development opportunities