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### Job Duties

At Blue Cross and Blue Shield of Minnesota, we are committed to paving the way for everyone to achieve their healthiest life. Blue Cross of Minnesota is an Equal Opportunity Employer and maintains an Affirmative Action plan, as required by Minnesota law applicable to state contractors. All qualified applications will receive consideration for employment without regard to, and will not be discriminated against based on any legally protected characteristic.

Blue Cross and Blue Shield of Minnesota

Position Title: Principal Provider Performance Clinical Consultant

Career Area: Strategic Planning/Corporate Development

The Impact You Will Have

This role is a key element in the design and implementation of the Provider Performance Consultation model supporting providers on path to risk agreements. The role works in tandem with the Manager of Clinical Consultation and the Medical Director to review provider-specific data and to identify actionable clinical opportunities. The role leads face-to-face meetings with leaders in provider care systems and is responsible for forming partnerships with providers to develop and execute provider-specific action plans to improve health care cost/utilization trends.

Your Responsibilities

• Point on advising and leading consultative conversations with provider groups about opportunities to improve clinical and cost/utilization trend.

• Responsible for developing and executing on provider-specific action plans for care systems with path-to-risk arrangements.

• Contributes to the design of provider-facing clinical consultation tools, processes, supporting resources to supports provider in risk agreements.

• Facilitates discussion of opportunities identified based on review of value-based cost and utilization performance data in provider-facing meetings.

• Works closely with Medical Director and Network Director to review data and identify provider-specific opportunities related to PTR target measures.

• Advises on business needs to provider-performance data owners to ensure reporting meets the needs of clinical consultation and oversight conversations with providers.

Required Skills and Experiences

• 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.

• Possess relevant degree or extensive experience in healthcare, clinical care, or public health.

• Excellent executive presence. Collaborative, interpersonal, verbal and written communication skill and demonstrated ability to develop accurate and appropriate communication to all levels of management.

• Demonstrated track record of achievement with ability to influence change and identify customer expectations, barriers, and issues.

• Creative problem-solving skills, adapting approach as needed.

• Excellent facilitation and relationship building skills.

• Demonstrated ability to work independently and make decisions as needed.

• Expert level ability to make decisions based on analysis and business needs.

• Exceptional ability to work in high paced environment, handling multiple responsibilities and projects.

• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred Skills and Experiences

• Bachelor's degree.

• Experience with value-based payment arrangements.

Compensation and Benefits:

Pay Range: $100,000.00 - $135,000.00 - $170,000.00 Annual

Pay is based on several factors which vary based on position, including skills, ability, and knowledge the selected individual is bringing to the specific job.

We offer a comprehensive benefits package which may include:

• Medical, dental, and vision insurance

• Life insurance

• 401k

• Paid Time Off (PTO)

• Volunteer Paid Time Off (VPTO)

• And more

To discover more about what we have to offer, please review our benefits page.

Role Designation

Hybrid

Anchored in Connection

Our hybrid approach is designed to balance flexibility with meaningful in-person connection and collaboration. We come together in the office two days each week - most teams designate at least one anchor day to ensure team interaction. These in-person moments foster relationships, creativity, and alignment. The rest of the week you are empowered to work remote.

Equal Employment Opportunity Statement

Individuals with a disability who need a reasonable accommodation in order to apply, please contact us at: [email protected].

Blue Cross® and Blue Shield® of Minnesota and Blue Plus® are nonprofit independent licensees of the Blue Cross and Blue Shield Association.

PI277635075

### Minimum Education Required

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### Minimum Experience Required

-

### Shift

First (Day)

### Number of Openings

1

### Compensation

$

### Postal Code

55121

### Place of Work

Hybrid

### Requisition ID

2083

### Job Type

Full Time

### Job Benefits

-

### Application Link

https://www.click2apply.net/MADlwQHJ7l64lfk2bsXdXk