Anthem, Inc. Practice Consultant in Seven Hills, Ohio
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.
Practice Consultant (ID: PS42539)
Location(s): This is a remote role for ONLY the states of Ohio, Kentucky and/or Missouri
The Practice Consultant is responsible is responsible for creating a partnership relationship with providers and other initiatives to achieve this fully integrated and accountable system of care.
Primary duties may include, but are not limited to:
Assesses current practice patterns, assets and challenges utilizing available EPHC and non EPHC quality data.
Establishes partnerships with non EPHC provider organizations
In partnership with the PCP a evaluates results of the initial assessment.
Establishes a project plan with the practice that establishes goals and objectives for HEDIS and CAHPS improvement.
Provides ongoing practice support and sustains the partnership.
Establishes regular meetings to track progress.
Support provider outreach to review health plan quality measures and to implement quality outreaches for provider groups.
Requires an AS/BS in nursing; 5 years of managed care experience; 2 years of clinical experience; 2 years of professional presentations to small and large audiences; or any combination of education and experience, which would provide an equivalent background.
Strong Experience with HEDIS and CAHPS focused quality improvement, medical office experience, and/or provider experience strongly preferred.
Strong knowledge / use Microsoft Office programs required.
Current, unrestricted clinical license appropriate to field of specialty (LVN/LPN, RN, NP, PA, LCSW, LSW, etc.) as required.
BSN or MSN preferred.
This position requires local travel up to 75%.
Anthem, Inc. is ranked as one of America’s 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.