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Lumeris Care Transformation Advisor in St. Louis, Missouri

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Position:

Care Transformation Advisor

Position Summary:

The Care Transformation Advisor will serve as a client facing clinical subject matter expert and will play a key role in the evaluation, analysis, design, and deployment of new and existing clinical programs to support the execution of our value-based clinical model across a variety of client engagements. The Care Transformation Advisor will work cross-functionally with several teams, including sales, advisory solutions, analytics, and clinical operations.

Job Description:

Primary Responsibilities

  • Act as a client facing clinical subject matter expert and a clinical point of contact

  • Support clinical assessment of client’s current state and identify high-value opportunities and needs for operational success in a value-based model of care

  • Assist in determining client strategy based on client specific information

  • Participate in multiple client engagements in parallel and determine courses of action in complex and undefined situations that may not be addressed by existing policies, procedures, or protocols

  • Collaborate with multiple departments within Lumeris relating to innovation, quality and process improvement to drive best practice and knowledge sharing

  • Help define analytics needs and key performance indicators to measure outcomes and success of care delivery programs

  • Build credibility and maintain strong professional relationships with client and internal stakeholders through regular contact during course of engagement

Qualifications

  • BSN degree or higher

  • Must be a Registered Nurse with a licensure in good standing

  • 10 years of experience in healthcare with 3 years in a leadership capacity

  • Case Management Certification (CCM) preferred but not required

  • Experience with Accountable Care Organizations, Medicaid, Medicare and Commercial populations

  • Experience in consulting, services or population health organizations with a proven ability to manage partner relationships and achieve change within another organization from assessment through implementation

  • Knowledge of value-based care models, pharmacy management, quality management, case management and other care delivery programs

  • Ability to translate complex clinical and operational concepts into a cohesive, visual story

  • Ability to rapidly learn and adapt to ambiguous environments and clientele with quickly changing priorities and timelines

  • Strong history of quickly building relationships, gaining credibility, influencing and partnering with business and clinical leaders and peers across the organization

  • Ability to partner with multiple constituents, manage in a matrix relationship environment, strengthen and deliver on our agenda, and drive positive change in a high performance settings

  • Excellent presentation and facilitation skills in both large and small scale settings

  • Experience with policy, procedure and clinical content development

  • Excellent written and verbal communication skills and the ability to communicate/collaborate effectively with all levels of employees, management, executives, providers, and external organizations

  • Willingness to travel up to 50%

Working Conditions

  • While performing the duties of this job, the employee works in normal office working conditions.

Disclaimer

  • The job description describes the general nature and level of work being performed by people assigned to this job and is not intended to be an exhaustive list of all responsibilities, duties and skills required. The physical activities, demands and working conditions represent those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential job duties and responsibilities.

Lumeris is an EEO/AA employer M/F/V/D.

Location:

St. Louis, MO

Time Type:

Full time

Join Our Growing Team!

Lumeris is a value-based care managed services operator for health systems and providers seeking extraordinary clinical and financial outcomes. Lumeris aligns providers and payers across populations with technologies, processes, behaviors and information to achieve high-quality, cost-effective care with satisfied consumers — and engaged physicians.

Lumeris with Essence Healthcare, its inaugural client and learning laboratory with more than 60,000 Medicare members in Missouri and Illinois, has averaged a CMS rating of 4.5 Stars for the last ten years and produced the highest consumer and physician satisfaction scores in the industry along with significantly better clinical outcomes and lower costs. For more information, go to www.lumeris.com.

Why Join Lumeris?

At Lumeris, you will be part of team that is focused on solving the nation’s healthcare problem, and you will be able to contribute to our purpose. Our environment is fast-paced, change-oriented and focused on growth and employee engagement. At Lumeris, we know that talent is best utilized when given the opportunity to succeed. That is why we have removed the boundaries that inhibit success and focus on fostering an environment that allows employees to utilize their talents.

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