Practice Consultant

Diverge Health•Springfield, MO

About The Position

Diverge Health is seeking a Practice Consultant to support partnered primary care practices in engaging and managing Medicaid patients. The role is part of the market operations team and serves as the primary point of contact between Diverge Health and its partnered practices, helping practices understand and use the company’s technology and care solutions. The consultant works with Network Development, Local Care teams, practice leadership, clinicians, staff, and other stakeholders to strengthen relationships and support patient care coordination. The Practice Consultant supports development, monitoring, and implementation of practice workflows and operational initiatives focused on panel management, quality improvement, risk adjustment where applicable, and engagement of high-risk patients. The role includes onboarding practices, delivering training, interpreting performance data, coordinating access to resources, resolving operational or data-related issues, and facilitating ongoing communication between practices and Care Teams. The position is full-time, exempt, and salaried, with an expected base salary range of $95,000–$110,000, commensurate with candidate experience. It requires travel within the community for physician office visits and reliable transportation.

Requirements

  • Bachelor’s degree or equivalent experience in business, healthcare administration, or a related field.
  • 2–4 years of experience in a healthcare operational or customer-facing role with a provider or payer, including familiarity with primary care workflows such as scheduling, billing, and documentation.
  • Strong understanding of value-based care models, how they differ from fee-for-service, and experience supporting practices in a value-based care environment.
  • Knowledge of HEDIS quality measures, including effectiveness of care, access and availability, and utilization.
  • Familiarity with risk adjustment methodologies, especially Hierarchical Condition Categories (HCCs) and related documentation requirements.
  • Ability to interpret reports and dashboards to track performance, close quality gaps, and identify opportunities to improve outcomes.
  • Proficiency in Microsoft Office, especially PowerPoint for provider-facing presentations and Excel for data analysis.
  • Ability to balance competing priorities in dynamic, fast-paced environments and manage multiple projects simultaneously.
  • Ability to work independently and collaboratively, adapt to change, and navigate ambiguity in a high-growth environment.
  • Strong communication and presentation skills, including the ability to engage clinicians, staff, and practice leadership.
  • Professionalism and integrity when dealing with difficult external contacts; empathy, humility, conscientiousness, and the ability to connect authentically with people from varied backgrounds.
  • Ability to think critically and strategically, solve problems, proactively identify and resolve execution risks, and drive work hands-on.
  • Ability to represent the company’s mission, vision, and values in internal and external interactions.
  • Ability to travel within the community; valid driver’s license and car insurance; access to reliable transportation for physician office visits.
  • Ability to lift and carry materials and supplies; stand, walk, and move for extended periods; and adapt to varying conditions inside offices and outdoors while traveling.
  • Must be authorized to work in the United States without current or future employer sponsorship.

Nice To Haves

  • Graduate or professional degree in business, management, healthcare policy, healthcare administration, or a related field.
  • 2+ years of experience with a value-based care company.

Responsibilities

  • Establish relationships with practices after initial network contracting, jointly with Network Development Representatives.
  • Lead new practice onboarding, including creating onboarding plans, scheduling and delivering training, and arranging access to Diverge Health technology solutions.
  • Educate and train clinicians and staff on value-based care, Diverge Health’s incentive plan, and quality and risk adjustment best practices.
  • Present and discuss performance scorecards, claims data, and gap reports, translating insights into actionable steps.
  • Work with practice leadership to develop initiatives that advance value-based transformation and improve quality, efficiency, and practice performance.
  • Facilitate access to Diverge Health resources, including Medical Directors, Care Team members, and technology solutions.
  • Maintain regular communication between practices and Care Teams about patient care plans developed by Diverge Health.
  • Facilitate quarterly Joint Operating Committee meetings with the Market Medical Director to review incentive performance, quality scorecards, and Care Team engagement and improve practice performance.
  • Help practices navigate EMRs, Diverge’s Provider Portal, and other technology platforms; help resolve operational or data-related issues.
  • Maintain accurate practice profiles in Diverge Health’s CRM, including provider rosters, contact information, tiering, communications plans, and engagement cadence.
  • Meet defined practice engagement and performance goals while balancing practice interactions, internal meetings, travel, and administrative responsibilities.
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