Care Consultant (US)
Elevance Health

Job Info

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Care Consultant

Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Florida Elevance Health PulsePoint locations.

The Care Consultant will be responsible for providing support to providers to improve the effectiveness and efficiencies of provider practices.

How you will make an impact:

• 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.

Minimum Requirements:

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 Skills, Capabilities, and Experiences:

• Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, and electronic health records strongly preferred.
• RN license preferred.
• Facets experience preferred.
• Experience with SharePoint preferred.
• Microsoft Office suite experience (especially Excel) preferred.

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