Healthcare Transformation Specialist

1 week ago


Delaware, United States Highmark Health Full time

Job Summary

This role supports the Southeastern PA market (SEPA) and will require local travel. The Healthcare Transformation Specialist will be responsible for outcomes of providers contracted in the Organization's gain/risk share arrangements and is a highly skilled expert in practice transformation to achieve the specific targets set in the individual gain/risk share contracts.

Key Responsibilities

  • Directly responsible for supporting providers contracted in the Organization's gain/risk share programs, with a goal of maximizing quality and ROI for the Organization.
  • Responsible for analyzing performance reports and data to inform decision-making, process, and program implementation.
  • Develops process interventions based on practice-level data, trends, and identified opportunities.
  • Provides educational and training sessions to support providers in their conversion to value-based care.
  • Collaborates with the analytics team to ensure reports are accurate and provide meaningful, actionable data.

Requirements

  • Bachelor's Degree in Business, Finance, or Healthcare related field and an RN license or Bachelor's Degree in Nursing.
  • 5 years in practice transformation including population health, ambulatory care setting quality and efficiency metrics, accountable care organization development and support, patient-centered medical home, and electronic health records.

Preferred Qualifications

  • Familiarity with electronic health records and population health IT solutions.
  • Demonstrated experience working with healthcare data and analytics.

Skills

  • Ability to effectively resolve issues and problems across all areas of the corporation.
  • Superior written and verbal communication skills and listening skills.


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