Population Health Strategy Consultant (Remote - Field Based)

Company: CareFirst, Inc.
Location: Baltimore
Posted on: May 15, 2025

Job Description:

Home / Job Search / Population Health Strategy Consultant (Remote - Field Based)Population Health Strategy Consultant (Remote - Field Based)PURPOSE:The Population Health Strategy Consultant works closely with physicians and health systems ("providers") enrolled in CareFirst's government (Medicare and Medicaid) & value-based programs to understand patterns in their population's health data and effectuate practice transformation strategies that improve quality and reduce global health care costs. The Practice Consultant collaborates with internal subject matter experts to provide consulting services to physicians, key physician practice staff, executive level health system administrators, and other stakeholders to achieve program or contract goals.We are looking for an experienced professional to work remotely from within the greater DMV metropolitan area. The incumbent will be expected to come into a CareFirst location periodically for meetings, training and/or other business-related activities.ESSENTIAL FUNCTIONS:

• Practice Transformation: Employs consulting skills to manage behavior change and influence practice work flow improvements that optimize outcomes and value. Thoughtfully implements processes and technologies in practices to assure the highest state of provider readiness to participate in various CareFirst networks, government programs and other opportunities that may emerge.
• Data and Work flow Analysis: Manages aggregate performance of all value-based contracts across the market and develops/adjusts plan as needed. Conducts a thorough review of clients' opportunities, utilization patterns, and outcomes to inform provider and health system decision making. Researches any variances and seeks resolution. Models the financial impact of proposed changes in practice patterns.
• Market Analysis and Development: Builds and manages relationships within the local health care market, understanding community health and wellness needs. Identifies opportunities to improve the access, quality and efficiency of patient care and provider communication between patient, PCP, specialist and hospital. Recruits providers and negotiates terms of value based contracts, facilitates relationships between key stakeholders, and creating medical neighborhoods that facilitate optimal patient care and communication.
• Active participation in best practice development and sharing, team activities, and administrative functions.QUALIFICATIONS:Education Level: Master's Degree in Public Health, Health Administration, Business Administration, or related field OR in lieu of a Master's degree, an additional 6 years of relevant work experience is required in addition to the required work experience.Experience: 2 years health care experience.Preferred Qualifications:
  • Proven Experience in managing government programs such as Medicare or Medicaid.
  • In-Depth knowledge of Medicare and Medicaid regulations, policies and procedures.
  • Consulting skills and/or direct experience in a consulting role.
  • Experience in a clinical setting or knowledge in a clinically related field.
  • Experience using Client Relationship Management (CRM) System(s).Knowledge, Skills and Abilities (KSAs)
    • Demonstrated ability to effectively comprehend complex data analysis.
    • Effective written and interpersonal communication skills.
    • Effective at building relationships with various levels of business professionals and/or clinicians.Salary Range: $67,104 - $133,276Travel Requirements:Estimate Amount: 80% Able to travel through assigned region on a daily basis and work in the field the majority of work days.Sponsorship in US:Must be eligible to work in the U.S. without Sponsorship.PHYSICAL DEMANDS:The associate is primarily seated while performing the duties of the position. Occasional walking or standing is required. The hands are regularly used to write, type, key and handle or feel small controls and objects. The associate must frequently talk and hear. Weights up to 25 pounds are occasionally lifted.
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Keywords: CareFirst, Inc., Franconia , Population Health Strategy Consultant (Remote - Field Based), Professions , Baltimore, Virginia