Resp & Qualifications

PURPOSE:
The Population Health Strategy Lead Consultant serves as the primary liaison between CareFirst and several key health care delivery partners, assigned several health systems with single hospitals, generally covering specific geographies surrounding the anchor hospital. The Population Health Strategy Lead Consultant is responsible for driving transformation of the health care experience for CareFirst Members through the health care delivery partner(s) they are assigned to manage. The goal of the incumbent is to improve value and outcomes. This role ensures that the Consultant teams are conducting actionable analysis and driving behavior change within entities including identification of care opportunities, providing patient outreach, participating in performance/ process improvement efforts, and recommending areas of opportunity to support CareFirst Value Based Programs.

ESSENTIAL FUNCTIONS:

In collaboration with executive-level leaders at assigned health systems, develops and executes the agenda and business plan. Works with internal CareFirst resources and the health care delivery partners resources to execute the plan. Leverages strong strategic relationship with the entity leadership to quickly resolve any problems so that the agreed upon objectives are met.
Leverages their level of involvement and entity relationships to identify opportunities to align initiatives already in progress with things that would benefit the entity in Value Based Programs, thereby accelerating the Value Based Programs promote and the results we seek.
Serves as CareFirst's internal expert on the assigned health care delivery partners including knowledge of the partners strategic plan, financial health, geographic footprint, mix of service lines offered, executive leadership and board make-up. Maintains day to day contact with the entity's leadership and assures that problems are addressed, and practice transformation plans stay on course.
Provides the entity with information on enhancements and changes to CareFirst Value Based Programs. Troubleshoots or explains data that was questioned and identifies opportunities for alignment between the entity and CareFirst.
Analyzes and reports on progress amongst the entity, preparing impact analysis and presentations for senior executives. Provides briefings on how the entity is doing as a whole, which areas are contributing or detracting from the entity's success in the program, the status of key initiatives. Regularly briefs VPs, EVPs and CEOs from CareFirst and the health care delivery partner on progress, barriers and opportunities.

SUPERVISORY RESPONSIBILITY:
Leads a team utilizing a matrix management system.

QUALIFICATIONS:

Education Level: Master's Degree in Public Health, Health Administration, Business Administration, or related field or equivalent 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:

5 years progressively increasing responsibility in health care environment, health insurance payer environment, or related industry.
3 years Field experience in the role as Population Health Strategy Consultant within CareFirst.

Preferred Qualifications:

Consulting skills and/or direct experience in a consulting role.
Experience in a clinical setting or knowledge in a clinically related field.
Project management experience.
Experience using Client Relationship Management (CRM) System(s).

Knowledge, Skills and Abilities (KSAs)

Demonstrated ability to effectively comprehend complex data analysis.
Solution development.
Executive presentation skills.
Effective written and interpersonal communication skills.
Ability to coach and deliver feedback.
Must be able to meet established deadlines and handle multiple customer service demands from internal and external customers, within set expectations for service excellence. Must be able to effectively communicate and provide positive customer service to every internal and external customer, including customers who may be demanding or otherwise challenging.

Salary Range: $86,328 - $171,457

Travel Requirements
Estimate Amount: 80% Able to travel through assigned region on a daily basis and work in the field the majority of workdays.

Salary Range Disclaimer

The disclosed range estimate has not been adjusted for the applicable geographic differential associated with the location at which the work is being performed. This compensation range is specific and considers factors such as (but not limited to) the scope and responsibilites of the position, the candidate's work experience, education/training, internal peer equity, and market and business consideration. It is not typical for an individual to be hired at the top of the range, as compensation decisions depend on each case's facts and circumstances, including but not limited to experience, internal equity, and location. In addition to your compensation, CareFirst offers a comprehensive benefits package, various incentive programs/plans, and 401k contribution programs/plans (all benefits/incentives are subject to eligibility requirements).
Department

Practice Transformation Care
Equal Employment Opportunity

CareFirst BlueCross BlueShield is an Equal Opportunity (EEO) employer. It is the policy of the Company to provide equal employment opportunities to all qualified applicants without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, protected veteran or disabled status, or genetic information.
Where To Apply

Please visit our website to apply: www.carefirst.com/careers
Federal Disc/Physical Demand

Note: The incumbent is required to immediately disclose any debarment, exclusion, or other event that makes him/her ineligible to perform work directly or indirectly on Federal health care programs.
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.
Sponsorship in US

Must be eligible to work in the U.S. without Sponsorship
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