Care Consultant Sr.
Description SHIFT:
Day Job SCHEDULE:
Full-time Your Talent.
Our Vision.
At Anthem, Inc.
, its a powerful combination, and the foundation upon which were creating greater access to care for our members, greater value for our customers, and greater health for our communities.
Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
Care Consultant Sr.
Target location:
Northeast region Open to any location but preferred to be filled in the Northeast region, will consider a remote arrangement The Care Consultant Sr.
will be responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices and clinical processes.
Primary duties may include, but are not limited to:
Obtains and analyzes practice specific cost and quality data and reports for cost of care and quality opportunities, helps practice to target high risk Anthem members and gaps in care based on reports provided, supports practice implementation of population health management, care coordination and care management strategies, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums.
Serves as the point of contact for providers and primary care practices for program on boarding, facilitation of routine meetings between Anthem and the provider office, serves as the subject matter expert and liaison with Anthem Care Management to facilitate clinical processes between the company and the provider office, creates and hosts tailored learning opportunities to support the deployment of program interventions, hosts collaborative learning events that allow practices to learn from one another and national experts, use of the Provider Care Management Solutions (PCMS) tool and other data sources, and provides technical support for the Care Delivery Transformation program within the Enhanced Personal Health Care program (EPHC).
Collaborates with EPHC team and other program stakeholders, including but not limited to:
CDT Market lead, EPHC Provider Solutions team to meet provider and practice service needs.
Qualifications Requires a BA/BS; 5-10 years health care experience; or any combination of education and experience, which would provide an equivalent background.
Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics and electronic health records preferred.
Clinical background and/or MBA not required but a plus.
Strong consulting experience is required.
Proficiency / advanced knowledge of Microsoft Excel is also required.
Anthem, Inc.
is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes.
To learn more about our company and apply, please visit us at careers.
antheminc.
com.
An Equal Opportunity Employer/Disability/Veteran.
Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
REQNUMBER:
PS42449-Maryland.
Estimated Salary: $20 to $28 per hour based on qualifications.
Day Job SCHEDULE:
Full-time Your Talent.
Our Vision.
At Anthem, Inc.
, its a powerful combination, and the foundation upon which were creating greater access to care for our members, greater value for our customers, and greater health for our communities.
Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health care companies and a Fortune Top 50 Company.
Care Consultant Sr.
Target location:
Northeast region Open to any location but preferred to be filled in the Northeast region, will consider a remote arrangement The Care Consultant Sr.
will be responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices and clinical processes.
Primary duties may include, but are not limited to:
Obtains and analyzes practice specific cost and quality data and reports for cost of care and quality opportunities, helps practice to target high risk Anthem members and gaps in care based on reports provided, supports practice implementation of population health management, care coordination and care management strategies, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums.
Serves as the point of contact for providers and primary care practices for program on boarding, facilitation of routine meetings between Anthem and the provider office, serves as the subject matter expert and liaison with Anthem Care Management to facilitate clinical processes between the company and the provider office, creates and hosts tailored learning opportunities to support the deployment of program interventions, hosts collaborative learning events that allow practices to learn from one another and national experts, use of the Provider Care Management Solutions (PCMS) tool and other data sources, and provides technical support for the Care Delivery Transformation program within the Enhanced Personal Health Care program (EPHC).
Collaborates with EPHC team and other program stakeholders, including but not limited to:
CDT Market lead, EPHC Provider Solutions team to meet provider and practice service needs.
Qualifications Requires a BA/BS; 5-10 years health care experience; or any combination of education and experience, which would provide an equivalent background.
Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics and electronic health records preferred.
Clinical background and/or MBA not required but a plus.
Strong consulting experience is required.
Proficiency / advanced knowledge of Microsoft Excel is also required.
Anthem, Inc.
is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes.
To learn more about our company and apply, please visit us at careers.
antheminc.
com.
An Equal Opportunity Employer/Disability/Veteran.
Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
REQNUMBER:
PS42449-Maryland.
Estimated Salary: $20 to $28 per hour based on qualifications.
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