Provider Consultant

Advanced Management USA; San Diego (CA); Hybrid; USD 63,000 - 77,000; Full time

Benefits offered by this job

Comprehensive healthcare

Retirement plan with match

Paid time off and holidays

Tuition reimbursement

Flexible schedule and remote work

Job summary

Advanced Management USA is seeking a Healthcare Provider Consultant to lead strategic care planning, optimize care delivery, and drive value-based initiatives across diverse healthcare clients. The role emphasizes data‑driven decisions, cross‑functional leadership, and innovative care coordination strategies.

Travel up to 70% is required as you engage providers, health systems, IPAs, and community partners to improve outcomes.

Qualifications

• Bachelor’s degree in Healthcare Administration, Public Health, or related field.
• 2+ years of progressive healthcare consulting experience with measurable outcomes.
• Proven leadership of cross-functional teams toward excellence in care delivery.
• Entrepreneurial mindset with growth opportunities.
• Strong communication and stakeholder engagement.
• Knowledge of value-based care and healthcare policy.
• Analytical skills and data‑driven decision making.
• Proactive self‑starter with resourcefulness.
• Ability to interface with physicians, hospital execs, IPAs, and health plans.
• Proficient in Excel, Word, and PowerPoint.

Responsibilities

• Lead strategic care planning and optimization across client engagements.
• Develop and implement innovative care coordination solutions.
• Engage providers and community stakeholders to align goals.
• Establish quality improvement processes and monitor metrics.
• Serve as subject matter expert in value-based care.
• Mentor and develop team members.
• Support market growth and network expansion.
• Ensure HIPAA compliance and office procedures.
• Document meetings, action plans, and staff feedback.
• Perform other duties as assigned.

Skills

Leadership

Data analysis

Communication

Entrepreneurial mindset

Travel 70%

Microsoft Excel

Education

Bachelor’s degree

Tools

Microsoft Excel

PowerPoint

Word

Job description

Job Description

Job Description

** Job Title: Healthcare Provider Consultant**

** Summary**

We are seeking a dynamic and visionary Healthcare Consultant to join our team. This role presents a unique opportunity for an entrepreneurial-minded individual to lead transformative initiatives in care coordination and consulting. As a champion of value-based care, you will play a pivotal role in shaping our organization's strategic direction and driving innovation in healthcare delivery.

Essential Duties and Responsibilities

** Strategic Care Planning and Optimization:** Lead the development and implementation of strategic care plans tailored to meet the diverse needs of our clients, leveraging data analytics and best practices to optimize outcomes and resource utilization.

** Innovative Care Coordination Solutions:** Spearhead the exploration and implementation of innovative care coordination solutions, such as telehealth initiatives, predictive analytics, and community partnerships, to enhance the accessibility and effectiveness of care delivery.

** Leadership in Provider Engagement:** Provide visionary leadership in building and nurturing relationships with healthcare providers and community stakeholders, driving collaboration and alignment toward shared goals of improving patient care and outcomes.

** Continuous Quality and Performance Improvements:** Establish robust quality improvement processes and leverage performance metrics to monitor and evaluate the effectiveness of care delivery, driving continuous improvement and ensuring accountability for outcomes.

** Thought Leadership and Knowledge Sharing:** Serve as a subject matter expert in value-based care and care coordination, contributing to thought leadership initiatives, publications, and industry conferences to advance the field and promote organizational expertise.

** Mentorship and Team Development:** Provide mentorship and guidance to peers and junior staff members, fostering a culture of learning and professional growth within the organization.

** Strategic Planning and Market Growth:** Network with providers and provider groups in assigned geographic markets to promote and foster growth of the Accountable Care Organization (ACO).

Assist in directing multiple population health initiatives/projects simultaneously within a healthcare network and educate providers and support staff on these initiatives.

Possess general knowledge of data analytics and leverage data to make recommendations based on best practices to improve clinical and administrative workflows.

Conduct routine bimonthly meetings with staff, including PCPs, and document topics discussed, action plans, and staff feedback.

Support company philosophies, objectives, decisions, and policies.

Must abide by all HIPAA, confidentiality, and privacy laws.

Ensure office procedures are implemented, including filing systems, correspondence formats, startup documents, closeout documents, and archiving.

Manage performance metrics for the department.

Perform other duties as assigned.

Qualifications

• ** Bachelor’s degree (Required)** in Healthcare Administration, Public Health, or a related field.
• Minimum of 2 years of progressive experience in healthcare consulting, care coordination, or related healthcare roles, with a proven track record of driving innovation and achieving measurable outcomes.
• Demonstrated leadership experience with the ability to inspire and motivate cross-functional teams toward a shared vision of excellence in care delivery.
• Entrepreneurial mindset with a passion for identifying and seizing opportunities for growth and improvement.
• Exceptional communication and interpersonal skills, with the ability to effectively engage and influence stakeholders at all levels.
• Deep understanding of value-based care principles, healthcare policy, and industry trends.
• Strong analytical skills and proficiency in data-driven decision-making.
• Must be a proven self-starter, possessing proactive initiative and resourcefulness.
• Proven interpersonal skills with the ability to interface effectively both internally and externally with a wide range of people, including physicians, office staff, hospital executives, medical groups, Independent Physician Associations (IPAs), community organizations, and other health plan staff.
• Must demonstrate proficiency in Microsoft Excel, Word, and PowerPoint presentations.
• A high level of engagement and emotional intelligence.
• Must be able to travel within the area 70% of the time.

Benefits

** Pay:** $70,000+ commensurate with experience and qualifications

• Comprehensive healthcare coverage, including medical, dental, and vision insurance
• Retirement savings plan with employer matching
• Paid time off and holidays
• Professional development opportunities and tuition reimbursement
• Flexible work schedule and remote work options