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Best Practice Partners: Principal Consultant, Clinical Innovations and Physician Engagement

Lead the development and delivery of the client company clinical quality improvement and provider engagement services to assist clients in validating and ensuring improved outcomes.

Best Practice Partners Company: Best Practice Partners
Location: Pennsylvania

Reports to: Director, Consulting Services

Our client, a multi-billion dollar payor, has set up new group specializing in population health management, health economics, healthcare data analytics and preventive medicine. Our client is looking to fix some fundamental problems in the healthcare industry and build a product and services organization. Due to growth, our client is looking to build out our Business Consulting team and need a Principal Consultant to join our team.

This position is responsible for leading the development and delivery of the client company's clinical quality improvement and provider engagement services to assist clients in validating and ensuring improved outcomes. In addition to consulting with clients, the position is also responsible in developing the product strategy for analytics, maintaining regulatory awareness, managing client relationship, and demonstrating evolving quality improvement expertise to ensure the client company's competitiveness within the portfolio.

Essential Duties and Responsibilities (% of Time)

Leading engagements with specific business areas and customers primarily in Clinical Quality (HEDIS/STAR/NCQA/PQRI), Care Management and Clinical Operations with a focus on being a subject matter expert providing deep technical and business level of involvement to influence decisions. (20%)

Responsible for designing and presenting comprehensive clinical strategies for physicians, health care providers, payers, and integrated health care delivery systems who are looking for Population Health Management solutions. (20%)

Partner with clients to develop their strategic vision to engage physicians and adapt to industry changes. Actively team with other areas and other Principals to pursue opportunities, generate revenue. (10%)

Drive business and program development where there is a need for data, information, reporting or analysis. Pull together appropriate resources to support collaborative strategies. (10%)

Attend industry conferences and events, both local and national, to maintain a contemporary awareness of industry, CMS regulations, Medicare Quality improvement (HEDIS/STAR) solutions, benefits and programs that will enhances strategy development, recommendations, and decision making. (5%)

Communicate results of analytic and reporting efforts to the customer in a way that demonstrates insights of all relevant business issues. (5%)

Serve as the primary liaison on issues related to expertise including competitive and industry intelligence including research, assessment and communication of information and business intelligence to support customer needs. Key focus on HEDIS and STAR improvement Programs, clinical programs and work. (10%)

Provide oversight to clients and staff in development of engagements, materials, events, initiatives, committees, meetings and presentations by gathering needed information and using appropriate frameworks and models in the development of assessment materials. (10%)

Coach and mentor Senior Business Consultants and Business Consultants on the team. (10%)

Job Requirements

1) Leadership:
  • Demonstrated project management skills involving multiple departments, customers, and initiatives.
  • Track Record of establishing and maintaining strong customer relationships.
  • Ability to communicate effectively in both written and oral form on general as well as complex subject matter in order to reach consensus on issues at the executive level.
  • Ability to analyze problems, requirements, and issues efficiently, determine the impact in the context of the matter being evaluated and develop effective business models/solutions.
  • Ability to act as a liaison and recommend solutions to a variety of departments, as well as other health plans and other external business partners.

2) Skills: Proficiency with software used for both analytic and reporting functions.

3) Knowledge:
  • In depth knowledge of areas of accountability: Public Health, Population Health, Practice Management and Operations, and Clinical Care Delivery practices related to strategy, related analytical and statistical applications to support information needs and decision making.
  • Specific to the area of accountability, knowledge of NCQA, ACA, JCAHO, HEDIS, population management programs, benefit designs, health care financing,

4) Experience:
  • Minimum of 10 years of related experience in the area of Public and Population Health areas, Hospital and Provider Practice Management, Life Sciences or Healthcare Business Consulting. Experience in the provider practices or hospital industry is a plus.
  • Demonstrated experience in strong analytical thinking.
  • Related professional experience in the area of accountability or as a Senior Business Consultant. Experience in big 5 consulting companies is a plus.

5) Education, Certification, and Licenses: Prefer a Master's Degree in Public Health, Healthcare Administration, Business Administration, Clinical Statistics or Informatics with an extensive track record of success in area of accountability.

6) Work Environment: Travel required, including local, regional, and national locations.

7) Travel Requirements: Amount (up to 50% of time)

For more information and a confidential discussion regarding this role, please contact:

Mark W. Stevens
Vice President
Best Practice Partners

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