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Diverge Health

In-home health coaching for Medicaid

Practice Liaison

Customer SuccessConfirmed live in the last 24 hours
Full-timeEast St Louis, 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.
  • A graduate or professional degree in business, management, healthcare policy, healthcare administration, or a related field is preferred.
  • Two to four years of experience in a healthcare operational or customer-facing role with a provider or payer is required, along with familiarity with primary care practice workflows such as scheduling, billing, and documentation.
  • Two or more years of experience with a value-based care company is preferred.
  • 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.
  • Strong communication and presentation skills, with the ability to engage clinicians, staff, and practice leadership.
  • Ability to travel within the community, a valid driver's license and car insurance, and access to reliable transportation for physician office visits.
  • Ability to lift and carry materials and supplies, and to stand, walk, and move for extended periods during physician office visits.
  • Ability to adapt to varying environmental conditions outside while traveling in the community and inside physician offices.
  • Ability to manage multiple projects simultaneously and balance competing priorities in dynamic, fast-paced environments.
  • Ability to work independently while collaborating with a team, adapt to change and ambiguity, and operate effectively in high-growth environments.
  • Ability to engage professionally and with integrity with difficult people outside the organization.
  • Ability to think critically and strategically, identify and resolve risks to execution, and take a hands-on approach to driving work.
  • Ability to represent the company's mission, vision, and values in internal and external interactions, and connect authentically with people from diverse backgrounds with empathy and humility.

Responsibilities

  • Serve as the primary point of contact between the organization and partnered practices.
  • Establish relationships with practices after initial network contracting, jointly with Network Development Representatives.
  • Lead new-practice onboarding, including developing onboarding plans, scheduling and delivering training, and arranging practice access to technology solutions.
  • Educate and train clinicians and staff on value-based care, the organization'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, and translate insights into clear, actionable steps.
  • Develop initiatives with practice leadership to drive value-based transformation and improve quality, efficiency, and overall practice performance.
  • Facilitate practices' access to 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 the organization.
  • 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, the Provider Portal, and other technology platforms, and resolve operational or data-related issues.
  • Maintain accurate and up-to-date practice profiles in the 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.
  • Support practices with ongoing workflow development, monitoring, and implementation for operational initiatives involving panel management, quality (including gap closure, pre-visit planning, and post-visit documentation), risk adjustment in applicable markets, and high-risk patient engagement.
  • Deliver or facilitate regular training on quality, risk adjustment, and other aspects of value-based care.

Desired Qualifications

  • Two or more years of experience with a value-based care company.

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
Late Stage VC
Total funding
$52.4M
Headquarters
Glencoe, IL
Founded
2022

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