Hybrid Population Health Programs Liaison—Provider Partnerships

Medical Mutual; Cleveland (OH); Hybrid; USD 90,000 - 120,000; Full time

Benefits offered by this job

On-site fitness centers

Gym membership reimbursement

On-site cafeteria in Brooklyn, OH

Employee discounts

Cash rewards program

Business casual attire (jeans allowed)

Job summary

Medical Mutual, headquartered in Brooklyn, OH, seeks a Provider-Focused Liaison to advance care management and population health initiatives. You will partner with providers and internal teams to drive quality improvements, cost performance, and better member outcomes.

Requires RN licensure and 5+ years partnering with provider groups or health systems. The role combines clinical collaboration with strategic initiatives in a value-based care framework.

Qualifications

• Graduate of a registered nursing program approved by the Ohio State Nursing Board.
• Bachelor's Degree preferred; in lieu of RN, Bachelor’s degree in business or health care administration or related field.
• Masters degree preferred.
• 5 years experience partnering with provider groups, health systems, and/or employer groups to advance clinical initiatives or equivalent relevant experience in the healthcare or health insurance industry.

Responsibilities

• Collaborates with providers and health systems to implement programs that improve care quality and reduce costs for at-risk populations.
• Executes clinical initiatives to align with strategic and contractual goals through Cross-Functional Collaboration (CQHS, Sales, Marketing, Provider Network, etc.).
• Monitors and interprets Clinical program data to identify trends in medical utilization and clinical outcomes.
• Analyzes clinical cases and prepares documentation for case conferences with care management and population health teams.
• Builds and maintains clinical relationships through regular meetings and communication.
• Participates in divisional events and initiatives that support the organization's strategic plan.
• Performs other duties as assigned.

Skills

Healthcare cost drivers

Population health

Value-based care

CMS/NCQA knowledge

Project management

Communication skills

Microsoft Office

Education

Registered Nurse (RN) license

Bachelor's degree in nursing or health care administration

Master's degree preferred

Job description

Medical Mutual, headquartered in Brooklyn, OH, seeks a Provider-Focused Liaison to advance care management and population health initiatives. You will partner with providers and internal teams to drive quality improvements, cost performance, and better member outcomes.

Requires RN licensure and 5+ years partnering with provider groups or health systems. The role combines clinical collaboration with strategic initiatives in a value-based care framework.