Healthcare Consultant, Population Health & Payment Strategy - Albany, NY/Remote — US, NY

Job Description

Healthcare Consultant, Population Health & Payment Strategy - Albany, NY/Remote (Solventum)

3M Health Care is now Solventum

The Impact You’ll Make in this Role Solventum Health Information Systems (HIS) is a leader in helping commercial and government payers control costs and increase access to quality care with clinically based methodologies developed and refined over more than 40 years. These reliable metrics support efforts to analyze and track performance, reduce inefficiencies, and drive better outcomes.

The person hired for the position of Healthcare Consultant, Population Health & Payment Strategy will join a strong team focused on driving provider, payer and business partner opportunities for those Solventum measures used for payment, quality, and performance management by government, commercial, and international payer programs. Payment innovation, value-based care, patient safety solutions center our efforts.

As a Healthcare Consultant, Population Health & Payment Strategy, you will have the opportunity to tap into your curiosity and collaborate with some of the most innovative and diverse people around the world. Here, you will make an impact by:

• Leverage deep understanding of healthcare industry trends and Solventum methodologies to address complex client challenges and deliver innovative solutions that improve outcomes and reduce costs.
• Establish and maintain strong relationships with clients and internal stakeholders by anticipating needs, providing expert guidance, and collaborating across departments to create effective solutions.
• Directly impact the development and implementation of innovative payment initiatives with client partners.
• Develop and communicate strategies, policies, and business requirements; translate them into technical specifications; and oversee data analysis, reporting, and presentation development for internal and external audiences.
• Manage multiple projects of varying scope concurrently, lead client meetings, resolve issues promptly, and update clients and senior leaders on progress and results.
• Use expertise in healthcare claims to thoroughly examine client data, pinpointing trends and anomalies to provide recommendations and develop effective remediation strategies.
• Provide expert-level consulting, training, and support on Solventum classification products to clients and internal teams, supporting new product releases, tools, market expansion efforts, educational programs, and training sessions.
• Drive discussions on market trends, lead innovative consulting initiatives, and act as a subject matter expert on industry topics and Solventum products both internally and externally.

Your Skills and Expertise

• Bachelor’s Degree or higher from an accredited university AND 8 years of experience in the healthcare field

OR

• High School Diploma/GED or higher from an accredited institution and a minimum of 12 years of experience in the healthcare field in lieu of the bachelor’s degree education requirement

AND

In addition to the above requirements, the following are also required:

• Eight (8) years of experience in one or more of the following areas: healthcare consulting, healthcare payment, healthcare administration, health plans, and/or data analysis
• 3 years of experience working with claims and/or clinical data

• Master's degree in healthcare field or business administration.
• Experience with one or more of the HIS proprietary patient classification tools such as SolventumTM CRG, SolventumTM PPEs, SolventumTM APR DRG, and SolventumTM EAPG and risk adjustment concepts
• Experience with commercial, Medicaid and Medicare health plan operations.
• Experience with payment consulting, payment operations, and/or provider contract negotiations.
• Experience with quality reporting, quality program design, and gaps identification payment integrity, risk adjustment management, value-based purchasing, and/or accountable care organizations.
• Experience developing value-based strategies focusing on improving cost and quality outcomes.
• Experience merging clinical and claims data
• Experience with healthcare claims data and developing technical specifications

Additional Requirements

Work location:

• Remote (This position can work full time onsite, hybrid or remote)

Travel: May include up to 25% domestic or international travel

Relocation Assistance: Not Authorized

Supporting Your Well-being

Onboarding Requirement: To improve the onboarding experience, you will have an opportunity to meet with your manager and other new employees as part of the Solventum new employee orientation. As a result, new employees hired for this position will be required to travel to a designated company location for on-site onboarding during their initial days of employment. Travel arrangements and related expenses will be coordinated and paid for by the company in accordance with its travel policy. Applies to new hires with a start date of October 1st 2025 or later.

Applicable to US Applicants Only:The expected compensation range for this position is $125,600 - $172,700, which includes base pay plus variable incentive pay, if eligible. This range represents a good faith estimate for this position. The specific compensation offered to a candidate may vary based on factors including, but not limited to, the candidate’s relevant knowledge, training, skills, work location, and/or experience. In addition, this position may be eligible for a range of benefits (e.g., Medical, Dental & Vision, Health Savings Accounts, Health Care & Dependent Care Flexible Spending Accounts, Disability Benefits, Life Insurance, Voluntary Benefits, Paid Absences and Retirement Benefits, etc.). Additional information is available at: https://www.solventum.com/en-us/home/our-company/careers/#Total-Rewards