Clinical Strategist, Consultant (Clinical Optimization)

Blue Shield of California - Oakland, CA (7 months ago)

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Position Summary:
Reporting to the Director, Clinical Technology & Optimization, the Clinical Strategist, Consultant is responsible for being BSC’s on front line leader enabling clinical innovation on site with our key strategic partners. S/he will be part of a “tiger team” who partners directly with our state-wide provider partners to define the future care delivery model, then implement new technologies, redesign process and change organizational models to make the future a reality. The Clinical Strategist, Consultant will also be responsible for partnering with our Networks team to baseline new provider partners capabilities and help develop improvement road maps tied to our mutual objectives. The Clinical Strategist, Consultant will also participate cross-functionally in other larger enterprise projects as a Subject Matter Expert (SME) to support broader health information technology strategies. Moreover, the Clinical Strategist, Consultant may be responsible for leading a team of analysts, assigning and monitoring work of team members and providing guidance and leadership for other multidisciplinary efforts. This position may require statewide travel to Northern and Southern California locations.

Essential Responsibilities:
Lead strategy, planning, and execution around business improvements opportunities with our Provider Partners. Help draw alignment on opportunities to optimize business models, incentive systems and performance management tools.
Plan approach and accountable for the quality of root cause analysis, quantitative data analysis and interpretation, customer journey mapping, and horizontal process analysis to implement new policies, capabilities and processes.
Uses system thinking to facilitate the transformation of new innovative capabilities into the care delivery model and fundamentally shift the cost, quality or experience from the model.
Manipulate large, unstructured data sets to develop customer and operation insights for Senior/Executive Management review.
Lead or participate in customer facing focus groups to document end to end customer journey and needs.
Recommend processes for ongoing measurement, monitoring and reporting of progress on key metrics and facilitates executive briefings.
Facilitate external benchmarking and customer research to establish program goals and strategies.
Partner with multiple departments in setting up and coaching organic improvement projects within the provider organizations.


Knowledge & Experience:
Requires a degree in a clinical discipline (e.g. RN, PA, PharmD, or related).

Graduate degree is highly desirable.

Minimum 3-7 years of experience in a Clinical setting, Health Informatics, Management Consulting, Technology Strategy or Entrepreneurship.

Excellent analytical and problem-solving skills.

Typically, viewed as a specialist within discipline. May have broad knowledge of project management.

One or more of these certifications are required: Lean Six Sigma, Design Thinking

5 years of Six Sigma or Lean experience preferred

Process optimization in a care delivery setting preferred
EMR workflow optimization preferred
Advanced level of Data Analysis, Dashboards
Knowledgeable with Alternative Payment Models and Value Based Purchasing
Proficiency in driving cross-functional projects
Knowledge of change management concepts and techniques.
Superb communication skills, proficient oral and written presentation
Translate complex concepts into simple consumable artifacts
Proficiency in navigating complex programs and driving/collaborating on components to support the larger scope


Physical Requirements

Office Environment - roles involving part to full time schedule in Office Environment. Based in our physical offices and work from home office/deskwork – Activity level: Sedentary, frequency most of work day.
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