Population Health Strategy Consultant (Hybrid)

Population Health Strategy Consultant (Hybrid) CareFirst BlueCross BlueShield - 3.8 Baltimore, MD Job Details Full-time $71,064 - $141,141 a year 1 day ago Qualifications Collaborate with healthcare professionals Term negotiation Customer communication Contract management Master's degree in business administration Financial modeling Variance analysis Market analysis Customer service Healthcare Administration Consulting experience Research Contract management in healthcare Master's degree Project management Public Health Utilization management Quality improvement Customer relationship management Public health Data analytics Recruiting Contracts Pediatrics Master's degree in public health Business Administration CRM system proficiency Senior level Business Care coordination 2 years Communication skills Stakeholder relationship building Full Job Description Resp & Qualifications We are looking for an experienced professional in the greater Baltimore/Washington metropolitan area who is willing and able to work in a hybrid model. The incumbent will be expected to work a portion of their week from home and a portion of their week at a CareFirst location based on business needs and work activities/deliverables that week.

PURPOSE:

The Pediatric 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. The Pediatric Consultant collaborates closely with internal subject matter experts to deliver tailored pediatric population health insights and advisory services to physicians, practice leadership, clinical teams, and executive health system stakeholders. The goal is to support provider success in pediatric quality measures, utilization management, care coordination, and overall program or contract performance. This role focuses on understanding patterns in pediatric population health data and driving practice transformation strategies that improve quality of care, enhance patient and family experience, and reduce avoidable health care costs for children and adolescents.

ESSENTIAL FUNCTIONS

Practice Transformation:

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. Data and Work flow

Analysis:

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.

Market Analysis and Development:

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. Recruit providers and negotiate terms of value based contracts, facilitates relationships between key stakeholders, and creating 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 pediatric clinical setting or knowledge in a clinically related field Project management experience Strong Knowledge of Pediatric Population Health Experience using Client Relationship Management (CRM) System(s) Knowledge, Skills and Abilities (KSAs) 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.

Salary Range:

$71,064 - $141,141

Travel Requirements Estimate Amount:

80% Able to travel through assigned region on a daily basis and work in the field the majority of workdays Salary Range Disclaimer The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilities of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers 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. Where To Apply Please visit our website to apply: www.carefirst.com/careers

Federal Disc/Physical Demand Note:

The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.

PHYSICAL DEMANDS

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 #LI-NH2