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Value-Based Care Consultant
Highmark Health. Work collaboratively with participating Clinical Integration Network practices, institute stakeholders, regional concierge team, and CIN leadership to implement clinical integration and Value-Based Reimbursement optimization initiatives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in implementing clinical integration and value-based reimbursement strategies while fostering collaboration among healthcare stakeholders. Proficient in analyzing practice performance and developing actionable plans to enhance patient-centered care delivery.
Highest-signal resume keywords
Population Health ManagementValue-Based Reimbursement OptimizationPatient-Centered Medical Home PrinciplesHealthcare Cost ContainmentHIPAA Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Clinical Integration StrategiesData AnalysisPractice Performance ReportingWorkflow OptimizationEHR Technology Utilization
Soft Skills
CollaborationRelationship BuildingTraining and EducationStrategic PrioritizationCommunication
Tools & Technologies
Analytics TechnologyCost/Utilization Reports
Certifications & Qualifications
PA Registered Nurse License
Industry Keywords
Value-Based CareHealthcare OutcomesClinical QualityPractice OperationsCompliance
About the role
Key responsibilities & impact- Work collaboratively with participating Clinical Integration Network practices, institute stakeholders, regional concierge team, and CIN leadership to implement clinical integration and Value-Based Reimbursement optimization initiatives
- Encourage physicians and care teams to explore improving health care outcomes while containing healthcare costs
- Develop and implement strategies promoting value-based, patient-centered care delivery and CIN goals
- Cultivate in-depth relationships with assigned practices, institutes, and regional partners through in-person meetings and collaboration
- Set strategic priorities, report results, and identify opportunities for improvement
- Train assigned practices and/or institutes to use and understand CIN cost/utilization reports and analytics technology
- Analyze practice performance reports and other data, identify opportunities, develop practice-specific action plans, and implement strategies to achieve CIN VBR goals
- Train and foster adoption of optimized workflows, panel management techniques, EHR technology utilization, and education on regional quality, cost, and utilization opportunities
- Collaborate with regional operations teams and Local Advisory Council leaders to develop POD-specific goals and clinical integration strategies
- Prepare Local Advisory Council presentations and provide progress reports based on regional goals
- Participate in regional quality councils, where applicable
- Perform practice capability assessments and develop comprehensive analyses of findings
- Serve as liaison for care path implementation and care management programs by facilitating their introduction and implementation within practices
- Participate in developing and delivering regional practice manager educational programs, webinars, learning collaboratives, and best-practice workflow dissemination
- Participate in regional CIN operations, institute leadership, and corporate team meetings
- Perform other duties as assigned or requested
Requirements
What you’ll need- 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
- 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, the Company’s Handbook of Privacy Policies and Practices, Information Security Policy, Code of Business Conduct, applicable laws, regulations, company policies, and training requirements
Benefits
Comp & perks- No specific benefits, perks, or compensation extras stated in the posting