Description
SHIFT: Day Job
SCHEDULE: Full-time
Be part of an extraordinary team We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
This position can be filled at the Care Consultant or Care Consultant Sr level. The hiring manager will determine the level, based on the candidate's experience and background.
Care Consultant
Primary duties may include, but are not limited to:
Responsible for providing support to providers to improve the effectiveness and efficiencies of provider practices.
Obtains and analyzes quality metrics and reports for care opportunities, supports practice implementation of care coordination and care management, 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.
Collaborates with Patient Centered Primary Care team including but not limited to: engagement manager, clinical liaison, provider contractors and network relations reps to meet provider and practice service needs.
Actively participates in developing program recommendations and action plans (Internal).
Supports the efforts of providers and practice teams on office based care delivery interventions resulting in cost of care savings and improved health outcomes for patients.
Promotes practice transformation to team based patient centered care delivery.
Provides education for practices to develop expertise with metrics and data review for quality improvement.
May participate in various community and multi-department committees to assure effective program implementation.
Tracks progress of program and prepares status reports to management or senior management.
Maintains up to date knowledge on Patient Centered medical Home, Care Delivery System Redesign and Accountable Care Organizations.
Care Consultant Sr
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.
Facilitator 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
Care Consultant
Minimum Requirements
Preferred Requirements
Care Consultant Sr
Minimum Requirements
Preferred Requirements
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.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
REQNUMBER: PS71920-US
