Anthem, Inc. Patient Cntrd Care Consult in Louisville, Kentucky
SHIFT: Day Job
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 benefits companies and a Fortune Top 50 Company.
Patient Centered Care Consultant – Remote within state of Kentucky only
Responsible for providing support to providers to improve the effectiveness and efficiencies of provider practices.
Primary duties may include, but are not limited to:
•Obtains and analyzes quality metrics and reports for care opportunities, supports practice implementation of care coordination and care management, develops 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 Care Delivery System Redesign, Accountable Care and Patient Centered Medical Home Organizations.
Requires a BA/BS
3 years health care experience
Or any combination of education and experience, which would provide an equivalent background.
•Previous Quality or HEDIS experience strongly preferred.
•Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, and electronic health records preferred.
•Strong computer skills preferred.
•Good consultative selling skills preferred.
•Current or previous unrestricted RN licensure preferred.
•About 60-80% day travel within the state of Kentucky required post COVID.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.