Value-Based Care Consultant - Hybrid - Pittsburgh - FT
About The Position
The Value-Based Care Consultant collaborates with participating Clinical Integration Network (CIN) practices, institute stakeholders, regional concierge teams, and CIN leadership to implement clinical integration and Value-Based Reimbursement (VBR) optimization initiatives. The role encourages physicians and care teams to explore opportunities and challenges in improving healthcare outcomes while containing costs, and develops strategies that advance value-based, patient-centered care and CIN goals. As a consultant, the position builds in-depth relationships with assigned practices, institutes, and regional partners through in-person meetings and collaboration. It sets strategic priorities, reports results, and identifies improvement opportunities. The consultant also supports practices in understanding performance data, adopting effective workflows and panel-management approaches, and implementing care paths and care-management services.
Requirements
- 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.
- Five years of experience with population health management principles or related clinical quality or practice operations.
Nice To Haves
- One year of experience with pay-for-value programs or payer contracts.
- One year of experience with Patient-Centered Medical Home principles.
- Pennsylvania Registered Nurse license.
Responsibilities
- Train assigned practices and institutes to understand and use CIN cost and utilization reports and analytics technology.
- Analyze practice performance reports and other data to identify improvement opportunities, develop practice-specific action plans, and implement strategies to achieve CIN VBR goals.
- Train practices and foster adoption of optimized workflows, enhanced panel-management techniques, improved EHR technology utilization, and education about regional quality, cost, and utilization opportunities.
- Support efforts to improve access to high-value care, prevent unnecessary high-cost care episodes, and improve patient outcomes.
- Collaborate with regional operations teams and Local Advisory Council (LAC) leaders to develop POD-specific goals and clinical integration strategies.
- Prepare LAC presentations and provide progress reports based on regional goals; participate in regional quality councils when applicable.
- Conduct practice capability assessments and develop comprehensive analyses of findings.
- Coordinate care-path implementation and care-management programs (ECCM), facilitating the introduction and implementation of these services within practices.
- Participate in developing and delivering regional practice-manager educational programs, webinars, and learning collaboratives, and disseminate best-practice workflows and strategies.
- Participate and contribute in regional CIN operations, institute leadership, and corporate team meetings.
- Perform other duties as assigned or requested.
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
