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Diverge Health

In-home health coaching for Medicaid

Practice Consultant

Implementation & Technical Account ManagementUpdated on Oct 30
Full-timeCarbondale, IL, USA$95k - $110k

About the Job

Requirements

  • A bachelor's degree or equivalent experience in business, healthcare administration, or a related field is required.
  • Two to four years of experience in a healthcare operational or customer-facing role with a provider or payer, including familiarity with primary care practice workflows such as scheduling, billing, and documentation.
  • Strong understanding of value-based care models and how they differ from fee-for-service, with experience supporting practices in a value-based care environment.
  • Knowledge of HEDIS quality measures, including effectiveness of care, access and availability, and utilization.
  • Familiarity with risk adjustment methodologies, especially Hierarchical Condition Categories and related documentation requirements.
  • Ability to interpret reports and dashboards to track performance, close quality gaps, and identify opportunities for improved outcomes.
  • Proficiency in Microsoft Office, especially PowerPoint for provider-facing presentations and Excel for data analysis.
  • Ability to balance competing priorities and manage multiple projects simultaneously in dynamic environments.
  • Ability to work independently and collaboratively, communicate and present effectively to clinicians, staff, and practice leadership, adapt to change and ambiguity, and operate in high-growth environments.
  • Ability to travel within the community for physician office visits; a valid driver's license, car insurance, and reliable transportation are required.
  • Ability to lift and carry materials and supplies, stand, walk, and move for extended periods during physician office visits, and adapt to varying outdoor and indoor environmental conditions.
  • Candidates must be authorized to work in the United States without employer sponsorship, now or at any time in the future.
  • Hiring is unavailable in Alaska and Hawaii.

Responsibilities

  • Serve as the primary point of contact between Diverge Health and partnered practices.
  • Work with Network Development and Local Care teams to establish practice relationships and maintain regular communication between practices and the Care Team regarding patient care plans.
  • Support ongoing workflow development, monitoring, and implementation for operational initiatives to improve panel management, quality, risk adjustment where applicable, and high-risk patient engagement.
  • Deliver or facilitate regular training on panel management, quality, risk adjustment, high-risk patient engagement, and other aspects of value-based care.
  • Jointly with Network Development Representatives, establish relationships with practices following initial network contracting.
  • Lead new-practice onboarding, including developing onboarding plans, scheduling and delivering trainings, and arranging practice access to Diverge Health technology solutions.
  • Educate and train clinicians and staff on value-based care, Diverge Health’s incentive plan, and best practices in quality and risk adjustment for Medicaid and other applicable lines of business.
  • Present and discuss performance scorecards, claims data, and gap reports, translating insights into clear, actionable steps.
  • Collaborate with practice leadership to develop initiatives that drive value-based transformation and improve quality, efficiency, and overall practice performance.
  • Facilitate practices’ access to Diverge Health resources, including Medical Directors, Care Team members, and technology solutions.
  • Maintain regular communication between practices and the Care Team regarding patient care plans developed by Diverge Health.
  • Facilitate quarterly Joint Operating Committee meetings with the Market Medical Director to review incentive performance, quality scorecards, and Care Team engagement, and improve practice performance in quality, documentation, and patient engagement.
  • Support practices in navigating electronic medical records, Diverge’s Provider Portal, and other technology platforms; resolve operational or data-related issues.
  • Maintain accurate and up-to-date practice profiles in Diverge Health’s customer relationship management system, including provider rosters, contact information, tiering, communications plans, and engagement cadence.
  • Meet defined practice engagement and performance goals while balancing external practice interactions with internal meetings, travel, and administrative responsibilities.

Desired Qualifications

  • A graduate or professional degree in business, management, healthcare policy, healthcare administration, or a related field is preferred.
  • Two or more years of experience with a value-based care company is preferred.

About the Company

Diverge Health

In-home health coaching for Medicaid

Diverge Health provides in-home, personalized support for patients by deploying trained community health teams to work with primary care practices. It partners with risk-bearing practices to extend care beyond the clinic, focusing on Medicaid patients and addressing social determinants of health. The company recruits, trains, and deploys health coaches and provides the coordination infrastructure needed to manage patient populations across several states. Unlike purely software-driven platforms, Diverge Health emphasizes hands-on care delivery and care coordination to improve outcomes and lower costs for its partner providers. The overarching goal is to help primary care practices improve patient health, reduce expenses, and advance health equity.

Company size
51-200
Company stage
Not listed
Total funding
Not listed
Headquarters
Glencoe, IL
Founded
2022

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