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Clinical Transformation Consultant (Remote)

Posted 26 days agoViewed

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💎 Seniority level: Senior, 5-7 years

📍 Location: Pennsylvania, Maryland, Washington, North Carolina, Louisiana, Kentucky, Kansas, Indiana, Illinois, Georgia, Iowa, Florida, Colorado, California, Delaware, Connecticut, Arkansas, Arizona, Alabama, Alaska, Nevada, Vermont, Idaho, Tennessee, Oklahoma, Hawaii, Mississippi, Utah, New Hampshire, New Mexico, Wyoming, North Dakota, South Dakota, Rhode Island, West Virginia, Montana, Texas, District of Columbia, Ohio, New Jersey, Oregon, South Carolina, Missouri, Virginia, Massachusetts, Nebraska, Minnesota, Michigan, Wisconsin, New York, Maine

💸 Salary: 57700.0 - 106700.0 USD per year

🔍 Industry: Healthcare

🏢 Company: highmark

⏳ Experience: 5-7 years

🪄 Skills: Project ManagementData AnalysisClient relationship managementProcess improvementChange Management

Requirements:
  • Bachelor's Degree in a clinical or business discipline or equivalent experience.
  • 5-7 years of experience in healthcare, including clinical operations or management.
  • Knowledge of health plan provider network performance management.
  • Preferred MBA, MPH, or master's degree in a clinical field.
  • Experience in managed care or clinical settings preferred.
  • Formal Lean Six Sigma or process improvement training is a plus.
Responsibilities:
  • Provide hands-on consultative and training services to network providers.
  • Conduct performance analysis and gap assessments.
  • Develop transformation plans and collaborative relationships.
  • Lead implementation of provider projects and initiatives.
  • Ensure delivery of recommendations for clinical transformation.
  • Identify opportunities to enhance provider performance visibility.
  • Solve business problems related to change management.
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