Provider Success Consultant Sr. (Ohio Market)

About the Role

Key Responsibilities

• Conduct detailed evaluations of provider practices to determine their current capabilities in value-based care and identify key areas for growth and improvement.
• Engage in assessment, root cause analysis, strategy development, implementation, and outcomes tracking for each provider.
• Assist providers with executing action plans focused on population health management, patient satisfaction, and optimizing quality and cost performance.
• Lead collaborative meetings with provider staff and internal stakeholders to ensure alignment and successful deployment of strategic initiatives.
• Create and deliver tailored educational opportunities to aid providers in implementing recommended interventions effectively.
• Educate providers on using proprietary tools, data, and technology to improve performance in critical metrics.
• Utilize data analytics to monitor and track key performance metrics for assigned providers, ensuring data-driven decision-making.
• Accurately document all action plans, interventions, and provider activities in Salesforce for comprehensive records and reporting.
• Cultivate and maintain strong, long-term relationships with physicians, providers, and healthcare systems to support financial and quality improvements.
• Advise executives on developing segment-specific strategies related to financial performance, incentive programs, quality management, and operational areas impacting provider success.
• Exercise independent judgment on complex issues, working under minimal supervision to evaluate variables and determine optimal courses of action.

Requirements

• Requires a BA/BS and a minimum of 5 years of healthcare experience, or an equivalent combination of education and experience.
• Experience in consulting within the healthcare industry.
• Strong understanding of value-based care principles and practices.
• Experience with Medicaid, Medicare, and commercial plans is strongly preferred.
• Excellent analytical skills with the ability to interpret complex data and make strategic decisions.
• Experience with Salesforce or similar CRM platforms is preferred.

Nice to Have

• Proven experience in healthcare consulting.
• Experience with Medicaid, Medicare, and commercial plans.
• Strong understanding of value-based care principles.
• Experience with Salesforce or similar CRM platforms.

Qualifications

• BA/BS degree and at least 5 years of healthcare experience or equivalent education and experience.

Benefits & Perks

• Market-competitive total rewards including merit increases, paid holidays, Paid Time Off, and incentive bonus programs.
• Medical, dental, and vision insurance.
• Short and long-term disability benefits.
• 401(k) with match.
• Stock purchase plan.
• Life insurance and wellness programs.
• Financial education resources.