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Value Based Care Consultant

Job Description


Job ID: 1215355
Employment Status: Full-Time
More Information:

BJC Medical Group is a dynamic, multidisciplinary group with locations across the St. Louis metropolitan and outlying areas. The physicians, providers and staff of BJC Medical Group provide the highest level of care to thousands of patients every day.

BJC Medical Group practices serve their community by providing the highest level of quality care to their diverse patient populations.


Overview


Role Purpose

The Value-Based Care Consultant (RN) works directly with value-based care (VBC) performance leadership on all set organizational quality and utilization goals as it relates to value-based contracts. This position is responsible for engaging providers and offices in a data driven approach to implement and optimize value-based care workflows to improve population health management efforts, including cost, quality, access, network optimization, and documentation and coding.


Responsibilities

  • Serve as a subject matter expert on population health and value-based care in assigned health plan programs and initiatives, acting as a resource for others within the organization
  • Provide clinical and care coordination support to practices and patients within value-based care contracts towards improving overall quality of care and contract performance
  • Support the successful implementation of population health management initiatives and/or programs at the practice level and within centralized structures
  • Review health plan reports; monitor performance on program metrics, quality outcomes and adherence to contract requirements
  • Identify performance improvement opportunities through analysis of operational data, clinical outcome data and utilization/claims data

  • Minimum Requirements

     

    Degree

  • Bachelor's Degree
  • - Nursing/Allied Health/related

     

    Experience

  • 2-5 years
  •  

    Licenses & Certifications

  • RN

  •  

    Preferred Requirements and Additional Job Information

     

    Experience

  • 5-10 years
  •  

    Supervisor Experience

  • No Experience

  • Benefits Statement

    Note: not all benefits apply to all openings

    -  Comprehensive medical, dental, life insurance, and disability plan options
    -  Pension Plan*/403(b) Plan
    -  401(k) plan
    -  Tuition Assistance
    -  Health Care and Dependent Care Reimbursement Accounts
    -  On-Site Fitness Center (depending on location)
    -  Paid Time Off Program for vacation, holiday and sick time

    *Pension does not apply to Memorial Hospital, Memorial Hospital East, Alton Memorial or Parkland Health Center


    Legal Statement

    The above information on this description has been designed to indicate the general nature and level of work performed by employees in this position. It is not designed to contain or be interpreted as an exhaustive list of all responsibilities, duties and qualifications required of employees assigned to this job.

     

    Equal Opportunity Employer