Healthcare Consultant, Population Health & Payment Strategy - Albany, NY/Remote
Solventum
·3 days ago
- Salary
- $126k – $173k
- Location
- US, New York, Albany, United States of America · Remote-United States
- Workplace
- Remote
- Type
- Full-time
- Department
- Healthcare
- Experience
- 8+ years
- Education
- Master
- Visa
- Not sponsored
- Source
- Workday
Description
Job Description:
Healthcare Consultant, Population Health & Payment Strategy - Albany, NY/Remote (Solventum)
3M Health Care is now Solventum
At Solventum, we enable better, smarter, safer healthcare to improve lives. As a new company with a long legacy of creating breakthrough solutions for our customers’ toughest challenges, we pioneer game-changing innovations at the intersection of health, material and data science that change patients' lives for the better while enabling healthcare professionals to perform at their best. Because people, and their wellbeing, are at the heart of every scientific advancement we pursue.
We partner closely with the brightest minds in healthcare to ensure that every solution we create melds the latest technology with compassion and empathy. Because at Solventum, we never stop solving for you.
The Impact You’ll Make in this Role
Solventum Health Information Systems (HIS) is a leader in helping commercial and government payers control costs and increase access to quality care with clinically based methodologies developed and refined over more than 40 years. These reliable metrics support efforts to analyze and track performance, reduce inefficiencies, and drive better outcomes.
The person hired for the position of Healthcare Consultant, Population Health & Payment Strategy will join a strong team focused on driving provider, payer and business partner opportunities for those Solventum measures used for payment, quality, and performance management by government, commercial, and international payer programs. Payment innovation, value-based care, patient safety solutions center our efforts.
As a Healthcare Consultant, Population Health & Payment Strategy , you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:
- Leverage deep understanding of healthcare industry trends and Solventum methodologies to address complex client challenges and deliver innovative solutions that improve outcomes and reduce costs.
- Establish and maintain strong relationships with clients and internal stakeholders by anticipating needs, providing expert guidance, and collaborating across departments to create effective solutions.
- Directly impact the development and implementation of innovative payment initiatives with client partners.
- Develop and communicate strategies, policies, and business requirements; translate them into technical specifications; and oversee data analysis, reporting, and presentation development for internal and external audiences.
- Manage multiple projects of varying scope concurrently, lead client meetings, resolve issues promptly, and update clients and senior leaders on progress and results.
- Use expertise in healthcare claims to thoroughly examine client data, pinpointing trends and anomalies to provide recommendations and develop effective remediation strategies.
- Provide expert-level consulting, training, and support on Solventum classification products to clients and internal teams, supporting new product releases, tools, market expansion efforts, educational programs, and training sessions.
- Drive discussions on market trends, lead innovative consulting initiatives, and act as a subject matter expert on industry topics and Solventum products both internally and externally.
Your Skills and Expertise
To set you up for success in this role from day one, Solventum requires (at a minimum) the following qualifications:
- Bachelor’s Degree or higher from an accredited university AND 8 years of experience in the healthcare field
OR
- High School Diploma/GED or higher from an accredited institution and a minimum of 12 years of experience in the healthcare field in lieu of the bachelor’s degree education requirement
AND
In addition to the above requirements, the following are also required:
- Eight (8) years of experience in one or more of the following areas: healthcare consulting, healthcare payment, healthcare administration, health plans, and/or data analysis
- 3 years of experience working with claims and/or clinical data
Additional qualifications that could help you succeed even further in this role include:
- Master's degree in healthcare field or business administration.
- Experience with one or more of the HIS proprietary patient classification tools such as Solventum™ CRG, Solventum™ PPEs, Solventum™ APR DRG, and Solventum™ EAPG and risk adjustment concepts
- Experience with commercial, Medicaid and Medicare health plan operations.
- Experience with payment consulting, payment operations, and/or provider contract negotiations.
- Experience with quality reporting, quality program design, and gaps identification payment integrity, risk adjustment management, value-based purchasing, and/or accountable care organizations.
- Experience developing value-based strategies focusing on improving cost and quality outcomes.
- Experience merging clinical and claims data
- Experience with healthcare claims data and developing technical specifications
Additional Requirements
In this role, you may be required to enter healthcare or other third-party facilities. Those facilities may, in turn, require you to possess certain licenses, vaccinations, and/or other credentials or qualifications (collectively “prerequisites to entry”) for regulatory, safety, or other business reasons. All information will be kept in accordance with applicable law and Solventum policies. In order to respond to the prerequisites to entry, Solventum may share your information with the providers of medical screens, vaccinations, or verifications as well as the healthcare or other third-party facilities requiring the prerequisites to entry.
Work location:
- Remote (This position can work full time onsite, hybrid or remote)
Travel: May include up to 25% domestic or international travel
Relocation Assistance: Not Authorized
Must be legally authorized to work in country of employment without sponsorship for employment visa status (e.g., H1B status).
Supporting Your Well-being
Solventum offers many programs to help you live your best life – both physically and financially. To ensure competitive pay and benefits, Solventum regularly benchmarks with other companies that are comparable in size and scope.
Responsibilities of this position include that corporate policies, procedures and security standards are complied with while performing assigned duties.
Solventum is committed to maintaining the highest standards of integrity and professionalism in our recruitment process. Applicants must remain alert to fraudulent job postings and recruitment schemes that falsely claim to represent Solventum and seek to exploit job seekers.
Please note that all email communications from Solventum regarding job opportunities with the company will be from an email with a domain of @solventum.com. Be wary of unsolicited emails or messages regarding Solventum job opportunities from emails with other email domains.
Please note, Solventum does not expect candidates in this position to perform work in the unincorporated areas of Los Angeles County.Solventum is an equal opportunity employer. Solventum will not discriminate against any applicant for employment on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, or veteran status.Please note: your application may not be considered if you do not provide your education and work history, either by: 1) uploading a resume, or 2) entering the information into the application fields directly.
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