Practice Consultant

Diverge Health•East St. Louis, IL

7h•$95,000 - $110,000

About The Position

Diverge Health partners with primary care providers to improve engagement and management of Medicaid patients through specialized resources and clinical programs that help close gaps in care. Its teams address medical, social, and behavioral needs to improve patient outcomes and lower healthcare costs. The Practice Consultant is a key member of the market operations team and the primary point of contact between Diverge Health and its partnered practices. The role ensures practices can access and understand how to use Diverge Health technology and care solutions. Working with Network Development, Local Care teams, practice leaders, clinicians, and staff, the consultant establishes practice relationships, supports ongoing workflows and operational initiatives, and maintains communication between practices and care teams about patient care plans. The consultant supports practice performance in panel management, quality improvement, risk adjustment where applicable, and high-risk patient engagement. The role also delivers or facilitates training on these topics and value-based care, discusses performance data with practices, facilitates access to Diverge Health resources, and maintains practice records and engagement plans. This is a full-time, exempt, salaried position. The expected base salary range is $95,000–$110,000, commensurate with candidate experience.

Requirements

Bachelor’s degree or equivalent experience in business, healthcare administration, or a related field.
2–4 years of experience in a healthcare operations or customer-facing role with a provider or payer.
Familiarity with primary care practice workflows, including 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.
Ability to work independently as a proactive self-starter and collaborate effectively with a team.
Strong communication and presentation skills, including the ability to engage clinicians, staff, and practice leadership.
Comfort adapting to change and navigating ambiguity in high-growth environments.
Ability to travel within the community and make physician office visits; must have a valid driver’s license and car insurance and access to reliable transportation.
Ability to lift and carry materials and supplies; stand, walk, and move for extended periods during office visits; and adapt to varying indoor and outdoor environmental conditions.
Ability to handle difficult external interactions professionally and with integrity.
Ability to manage multiple projects simultaneously.
Ability to represent the company’s mission, vision, and values and connect authentically with people from diverse backgrounds with empathy and humility.
Authorization 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.
At least 2 years of experience with a value-based care company.

Responsibilities

Establish relationships with practices following initial network contracting, jointly with Network Development Representatives.
Lead new practice onboarding, including developing 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 findings into clear, actionable steps.
Work with practice leadership to develop initiatives that advance value-based transformation and improve quality, efficiency, and overall practice performance.
Facilitate practice access to Diverge Health resources, including Medical Directors, Care Team members, and technology solutions.
Maintain regular communication between practices and the Care Team regarding 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.
Support practices in using EMRs, Diverge’s Provider Portal, and other technology platforms, and help resolve operational or data-related issues.
Maintain accurate practice profiles in Diverge Health’s CRM, including provider rosters, contact details, tiering, communication plans, and engagement cadence.
Meet defined practice engagement and performance goals while balancing practice interactions, internal meetings, travel, and administrative responsibilities.