Provider Success Consultant Sr.

About This Role

The Senior Provider Success Consultant drives provider performance in value-based care payment innovation and collaborative programs across Washington D.C. and Maryland. This role builds trusted partnerships with provider organization leadership, guiding them to achieve targets across quality, utilization, and patient experience. The consultant leverages quantitative analysis and observational insights to advise providers on performance improvement within the Medicaid line of business.

Responsibilities

• Serve as a key advisory to executive leadership on developing strategies to drive contractual and value-based success, providing expertise in quality management, financial performance, value-based incentive programs, and practice operations.
• Cultivate, maintain, and own strong, long-term relationships with executive leadership across population health, quality, finance, and clinical teams.
• Serve as an advocate internally to bring in key leaders and internal stakeholders to address provider's needs and facilitate cross-functional collaboration across payer and provider organizations.
• Conduct detailed evaluations of provider protocols, processes, and staffing to determine current capabilities in value-based care and identify key areas for growth and improvement.
• Design and lead strategic plans and initiatives rooted in operational realities to enhance provider performance by highlighting improvement opportunities with innovative value-based care solutions.
• Continuously monitor and track key performance metrics for assigned providers, ensuring data-driven decision-making.
• Identify opportunities within the team and broader market to drive greater efficiency and efficacy.

Requirements

• 5+ years health care experience
• Ability to work in-office 1-2 days per week in Washington D.C. or Maryland

Qualifications

• BA/BS
• Minimum of 5 years health care experience

Nice to Have

• Detail orientation, with the ability to move between strategy and operations
• Independent decision-making ability and judgment on complex issues
• Strong communication skills, both presentation and written
• Experience building relationships, from C-suite to front-line staff
• Deep knowledge of Medicaid, Medicare, and commercial plans as well as value-based care models, principals, and practices
• Consulting experience
• Strong analytical skills with the ability to interpret complex data and make strategic conclusions
• Experience with Salesforce or similar CRM platforms

Skills

* Required skills

Benefits