CareFirst Careers

Consultant, Population Health Strategy

Resp & Qualifications

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. The Population Health Strategy Consultant collaborates with internal subject matter experts to provide consulting services to physicians, key physician practice staff, executive level health system administrators, and other stakeholders to achieve program or contract goals.

ESSENTIAL FUNCTIONS:

  • Practice Transformation:  Employs consulting skills to manage behavior change and influence practice work flow improvements that optimize outcomes and value. Thoughtfully implements processes and technologies in practices 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. Recruits providers and negotiates 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:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education Level: Master's Degree

Education Details: Public Health, Health Administration, Business Administration, or related field

Experience: 2 years health care experience

In Lieu of Education: In lieu of a Master's degree, an additional 6 years of relevant work experience is required in addition to the required work 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)

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

Travel Requirements
Estimate Amount: 80% Able to travel through assigned region on a daily basis and work in the field the majority of work days

Department

Department: Practice Transformation

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.

Hire Range Disclaimer

Actual salary will be based on relevant job experience and work history.

Where To Apply

Please visit our website to apply: www.carefirst.com/careers

Closing Date

Please apply before: 10/10/21

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

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