Provider Consultant

The Provider Consultant (PC) serves as the primary practice-facing contact for assigned clinics, building trust through clear communication, timely and professional delivery of materials, and proactive relationship management. PCs are responsible for executing the end-to-end workflow that supports the deployment and reconciliation of clinical documentation alerts and risk adjustment services. This includes liaising with providers and office staff, retrieving and uploading medical records, responding to risk adjustment inquiries, and supporting provider education. By ensuring consistent program implementation and reliable practice support, the Provider Consultant helps position Secondwave as a trusted partner in driving accurate documentation, improved outcomes, and overall program success.

• Serve as the primary contact for assigned practices, building relationships with providers and staff to ensure program success.

• Align with Client Delivery Managers to follow established workflows for CDI Alert distribution, reconciliation, and scheduling.

• Coordinate provider education to reinforce program workflows and risk adjustment best practices.

• Respond to provider inquiries regarding ICD-10-CM diagnoses mapped to Risk-Adjusted HCCs.

• Ensure adherence to CMS guidelines, risk adjustment principles, and Secondwave protocols.

• Execute program implementations within clinics, ensuring workflows, scheduling processes, and documentation protocols are adopted.

• Communicate clearly and effectively with providers and staff to support implementation and address questions or barriers.

• Navigate EMR and paper systems to secure required documentation.

• Retrieve, scan, and upload clinical documentation to support CDI Alert reconciliation.

• Monitor practice performance, flagging challenges and escalating risks as needed.

• Participate in quality assurance activities to confirm implementation consistency.

• Partner with peers, Senior Provider Consultants, and leadership to share feedback and recommend improvements.

• Support coordination of physician-to-physician education as needed.

• Participate in process improvement initiatives, bringing forward frontline insights.

• Perform additional duties as required to meet client commitments and organizational goals.

• Minimum of 5 years of medical office or healthcare experience.

• Knowledge of Medicare, Medicaid, and Commercial Risk Adjustment (HCCs) preferred.

• Valid driver’s license.

• Strong organizational, problem-solving, and time management skills required.

• Excellent oral and written communication skills.

• Ability to analyze data to identify trends, risks, and opportunities.

• Knowledge of risk adjustment principles and CMS documentation guidelines.

• Proficiency in MS Office (Excel, Word, Outlook and PowerPoint) and EMR systems

• Dependable, accurate and able to work independently under deadlines.

• Health insurance

• Vision insurance

• Dental insurance

• Life insurance

• Retirement plan

• Paid time off

• Salt Lake City, UT

• Hybrid work from home with required travel to provider offices within assigned territory. Daily travel is required to various sites and personal automobile will be required where public transportation is not available/used. May include occasional overnight travel and after-hour meetings.