Value-Based Care Consultant

Highmark Health

. Collaborate with participating Clinical Integration Network practices, institute stakeholders, regional concierge team, and CIN leadership .

Posted 11/5/2026full-timePittsburgh • Pennsylvania • United StatesMid-LevelSeniorWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in implementing value-based care delivery strategies and optimizing clinical integration initiatives. Proficient in analyzing practice performance data and fostering collaboration among healthcare stakeholders to improve outcomes and reduce costs.

Highest-signal resume keywords

Population Health ManagementValue-Based Reimbursement OptimizationPatient-Centered Medical Home PrinciplesEHR Technology UtilizationHIPAA Compliance

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Clinical IntegrationData AnalysisPractice Capability AssessmentCost/Utilization ReportingWorkflow Optimization

Soft Skills

CollaborationTrainingRelationship BuildingStrategic PrioritizationPresentation Skills

Tools & Technologies

Analytics TechnologyCare Management ProgramsPractice Manager Education Programs

Certifications & Qualifications

PA Registered Nurse License

Industry Keywords

Healthcare OutcomesCare Delivery StrategiesComplianceQuality ImprovementPayer Contracts

About the role

Key responsibilities & impact

Collaborate with participating Clinical Integration Network practices, institute stakeholders, regional concierge team, and CIN leadership
Implement clinical integration and Value-Based Reimbursement optimization initiatives
Encourage physicians and care teams to improve healthcare outcomes while containing costs
Develop and implement value-based, patient-centered care delivery strategies
Cultivate relationships with assigned practices, institutes, and regional partners through in-person meetings and collaboration
Set strategic priorities, report results, and identify improvement opportunities
Train practices and institutes to use CIN cost/utilization reports and analytics technology
Analyze practice performance reports and data to identify opportunities and develop practice-specific action plans
Train teams and foster adoption of optimized workflows, panel management techniques, EHR technology utilization, and regional quality, cost, and utilization practices
Collaborate with regional operations teams and Local Advisory Council leaders to develop goals and clinical integration strategies
Prepare Local Advisory Council presentations and progress reports
Participate in regional quality councils, operations meetings, institute leadership meetings, and corporate team meetings
Perform practice capability assessments and analyze findings
Facilitate implementation of care paths and care management programs within practices
Develop and deliver practice manager education programs, webinars, learning collaboratives, and best-practice workflow dissemination
Perform other duties as assigned or requested

Requirements

What you’ll need

Bachelor’s degree in a health-related field or relevant experience and/or education as determined by the company in lieu of a bachelor's degree
5 years of population health management principles or related clinical quality or practice operations experience
Preferred: 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
Compliance with HIPAA, data security guidelines, company privacy policies, and Code of Business Conduct
Compliance with applicable federal, state, and local laws, rules, regulations, company policies, and training requirements

Benefits

Comp & perks

Hybrid work arrangement
Full-time employment