Provider Consultant

Our mission is Better Health. Our passion is helping others.

What's Your Why?

• Are you looking for a career opportunity that will help you grow personally and professionally?

• Do you have a passion for helping others achieve Better Health?

• Are you ready to join a growing team that shares your mission?

Why Join Our Team: At Better Health Group, it's our commitment, our passion, and our culture that sets us apart. Our Team Members make a difference each and every day! They support our providers and payors, ensuring they have the necessary tools and resources to always deliver best-in-class healthcare experiences for our patients . We don't just talk the talk - we believe in it and live by it. Be part of a team that shares your passion and drive, and start living your purpose at Better Health Group.

Together, Better Health Group's lines of services work to drive our mission and achieve Better Care, Better Outcomes, and Better Health.

Position Objective:

The Provider Consultant is an administrative role and is responsible for reviewing patient cases with their respective medical necessities and addressing potential transfers to more appropriate levels of care. The incumbent will report to the department lead (or similar role) and will provide expert guidance and support in the field of clinical practice. You will collaborate with healthcare organizations and professionals to optimize patient care, improve clinical outcomes and enhance operational efficiency.

  • Collaborate with healthcare organizations and professionals to assess current clinical practices and identify areas for improvement
  • Conduct comprehensive evaluations of clinical processes, protocols, and workflows to identify opportunities for optimization
  • Monitor and intervene with Peer-to-Peers for redirection of Outpatient Hospital procedures to Ambulatory Surgical Centers and Free-standing Imaging Centers
  • Develop and implement evidence-based clinical guidelines, protocols, and standards
  • Provide training and education to healthcare professionals on new clinical practices, technologies, and treatment modalities
  • Collaborate with interdisciplinary teams to develop and implement quality improvement
  • Analyze clinical data and metrics to identify trends, patterns, and areas for improvement
  • Stay up-to-date with the latest advancements in medical research, technology, and healthcare policies to provide informed recommendations
  • Serve as a subject matter expert and resource for healthcare professionals seeking guidance on complex clinical cases
  • Participate in research projects and clinical trials to contribute to the advancement of medical knowledge and practice
  • Additional duties as assigned

Position Requirements/Skills:
  • Medical degree (MD or DO) from an accredited institution
  • Board certification in a relevant medical specialty
  • Minimum of 5 years of clinical practice experience
  • Proven experience in healthcare consulting or advisory roles
  • Strong knowledge of clinical practice guidelines, evidence-based medicine, and quality improvement methodologies
  • Proficiency in using electronic health record (EHR) systems and other healthcare technologies
  • Proficient with Google Suite (Drive, Docs, Sheets, Slides) and Microsoft Office (Word, Excel, PowerPoint) for real-time collaboration

Physical Requirements:
  • Requires standing, walking, pushing, bending, kneeling, and reaching
  • Ability to sit for extended periods of time
  • Requires corrected vision and hearing to normal range
  • Ability to operate a motor vehicle and have own means of transportation

Key Attributes/Skills:
  • Has a contagious and positive work ethic, inspires others, and models the behaviors of core values and guiding principles
  • An effective team player who contributes valuable ideas and feedback and can be counted on to meet commitments
  • Can work within our Better Health environment by facing tasks and challenges with energy and passion
  • Pursues activities with focus and drive, defines work in terms of success, and can be counted on to complete goals
  • Demonstrated ability to handle data with confidentiality
  • Ability to work cross-functionally with multiple teams; ability to work independently with minimal supervision
  • Excellent organizational, time-management, and multi-tasking skills with strong attention to detail
  • Excellent written and verbal communication skills; must be comfortable communicating with senior-level leadership, providers, and health plans
  • Strong interpersonal and presentation skills
  • Strong critical thinking and problem-solving skills
  • Must be results-oriented with a focus on quality execution and delivery
  • Appreciation of cultural diversity and sensitivity toward target patient populations

Compensation & Benefits

We offer a compensation w/bonus and a comprehensive benefits package:
  • Medical, dental, vision, disability, and life
  • 401k, with employer match
  • Paid time off
  • Paid holidays
  • Monthly Auto Allowance
  • Annual Bonus potential

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for their job. Duties, responsibilities, and activities may change at any time with or without notice.

We're an equal-opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status.