Clinical Practice Consultant
Core
Field-based quality consultant supporting value-based care models and provider relationships to improve HEDIS measures and quality performance.
Role type
Senior IC clinical practice consultant (quality improvement)
Builds
Quality improvement programs and provider engagement initiatives
Domain
Health insurance / Managed care / Value-based care
Deliverable
production ML models | product features | dashboards & analysis | research | client delivery | infrastructure | physical/clinical work
Required skills
Registered Nurse (RN) or Physician's Assistant or Nurse Practitioner with unrestricted license, 4+ years in health insurance/managed care, clinical program design, provider training presentation, collaboration with physicians, independent work, EMR access management, data retrieval
Preferred skills
HEDIS/STAR metric improvement, population health initiatives, clinical/operational data analysis, practice transformation, workflow improvement
Technologies
EMR systems, spreadsheets, presentation software
Responsibilities
Collaborate with medical practices and PCPs to improve HEDIS measures, conduct clinical readiness assessments, implement provider-based member outreach, retrieve medical records, evaluate quality improvement program effectiveness, create working relationships with care coordination teams
Seniority
Senior, hands-on IC
