Full-Time

Practice Consultant

Posted on 1/31/2025

Diverge Health

Diverge Health

11-50 employees

Healthcare

Compensation Overview

$90k - $105kAnnually

Junior, Mid

Detroit, MI, USA

Category
Management Consulting
Consulting
Required Skills
Management

You match the following Diverge Health's candidate preferences

Employers are more likely to interview you if you match these preferences:

Degree
Experience
Requirements
  • 2-4 years of experience working in a customer facing operational role in healthcare setting (provider or payer).
  • Understanding of the operations of a primary care medical practice including scheduling, billing, staffing, pre-visit planning, and post-visit documentation.
  • Familiarity with conventional fee-for-service payment methodologies
  • Familiarity with alterative and value-based payment methodologies
  • Familiarity with organizational change management processes
  • Familiarity with the Health Effectiveness Data and Information Set (HEDIS) measures of effectiveness of care, access & availability of care, and utilization
  • Familiarity with risk adjustment methodologies including Hierarchical Condition Categories (HCCs) and All Patient Refined Diagnostic Related Groups (AR-DRGs)
  • A bachelor’s degree or equivalent in business, management, healthcare policy, healthcare administration or a related field.
  • Experience working in a healthcare organization implementing tools, techniques, or processes related to alternative or value-based payment methodologies.
  • Ability to utilize operational reports and dashboards to understand practice level trends in engagement and performance.
Responsibilities
  • Jointly with Network Development Representatives, establish relationships with practices following initial network contracting.
  • Lead the new practice onboarding process, including development of the practice onboarding plan, scheduling and delivering all new practice trainings, and arranging practice access to Diverge Health technology solutions.
  • Provide education and training to clinicians and practice staff in the areas of value-based care, Diverge Health’s practice incentive plan, and quality and risk adjustment best practices for Medicaid (and other lines of business in some markets).
  • In collaboration with practice leadership develop strategic and operational initiatives to drive value-based transformation improved quality and efficiency practice performance.
  • Facilitate ongoing practice access to all Diverge Health resources, including both people (e.g. Medical Directors, Care Team members, etc.) and technology solutions.
  • Facilitate regular communication between the practice and the Care Team regarding patient care plans developed by Diverge Health for the practice’s patients.
  • Jointly with the Market Medical Director, deliver Explanations of Payment for Diverge Health’s practice incentive program, and to facilitate quarterly practice performance management conversations between the practice and Medical Director.
  • Update and maintain each participating practice’s provider roster, contact information and communications plan, and practice profile in Diverge Health’s internal customer relationship management system.
Desired Qualifications
  • A graduate or professional degree in business, management, healthcare policy, healthcare administration or a related field.
  • 2+ years experience with a value based care company

Company Size

11-50

Company Stage

N/A

Total Funding

N/A

Headquarters

Glencoe, Illinois

Founded

2022

Simplify Jobs

Simplify's Take

What believers are saying

  • Telemedicine adoption has increased by 38% since 2020, benefiting Diverge Health's remote services.
  • Blockchain use in healthcare is up 20%, supporting secure data management for Diverge Health.
  • AI-driven diagnostics' prevalence boosts Diverge Health's capabilities with improved accuracy.

What critics are saying

  • Telemedicine competition from platforms like Teladoc Health may impact Diverge Health's market share.
  • Big tech companies entering healthcare could threaten Diverge Health's market position.
  • Value-based care demands improved outcomes, challenging Diverge Health if services don't align.

What makes Diverge Health unique

  • Diverge Health focuses on personalized medicine, aligning with rising demand for tailored treatments.
  • The company integrates wearable technology, tapping into a growing market with 15% annual growth.
  • Diverge Health utilizes AI-driven diagnostics, enhancing accuracy by 25% for certain conditions.

Help us improve and share your feedback! Did you find this helpful?

Benefits

Professional Development Budget

Training Programs

INACTIVE