Anthem Inc. Virginia Jobs

Job Information

Anthem, Inc. Care Consultant / Care Consultant Sr. in Alexandria, Virginia

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re 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.

LOCATION: 90-100% Remote

The Care Consultant and Care Consultant Sr. role is responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices through quality improvement and specific cost metrics.

Primary duties may include, but are not limited to:

Care Consultant

  • 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.

  • 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 other internal departments such as provider relations, contracting, quality, medical directors and financial analysts to collectively support the provider in their Value based Contract.

  • Actively participates and leads in the development of action plans and recommendations for participation in value based programs for provider groups.

  • Makes recommendations to 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.

  • Actively participates 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.

  • Interacts and leads large meetings with practice staff including physicians, clinical and administrative staff

Qualifications

Care Consultant

Required Qualifications:

  • Requires a BA/BS and a minimum of 3 years health care experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Clinical background and/or MBA.

  • Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, and electronic health records preferred.

  • Strong financial analysis skills preferred as well as strong presentation experience and excellent communication skills.

  • Organized, self-starter with attention to both big picture goals and details preferred.

  • Knowledge of provider office operations helpful.

  • Previous experience with multiple lines of business (Medicaid, Medicare and Commercial) is a bonus.

Care Consultant Sr.

Required Qualifications:

  • BA/BS; 5 years health care experience; or any combination of education and experience, which would provide an equivalent background.

    Preferred Qualifications

  • Clinical background and/or MBA.

  • Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, and electronic health records preferred.

  • Strong financial analysis skills preferred as well as strong presentation experience and excellent communication skills.

  • Organized, self-starter with attention to both big picture goals and details preferred.

  • Knowledge of provider office operations helpful.

  • Previous experience with multiple lines of business (Medicaid, Medicare and Commercial) is a bonus.

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 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. 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 race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS64887-US

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