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About the Role

The Oncology Practice Enablement Clinician Senior will partner with complex oncology practices to drive success with key strategic solutions, focusing on practice collaboration and enablement to improve member care quality and value within a Value Based Network (VBN) for the Total Cost of Care (TCOC) in oncology.

Responsibilities

• Serve as clinical subject matter expert (SME) for operational team members, while mentoring team members.
• Independently manage relationships with provider practices by providing orientation, ongoing training, practice enablement, transformation, and support.
• Onboard practices to the VBN program.
• Provide ongoing support through Practice Support break out meetings to meet practice needs.
• Partner with PTC to implement and monitor practice transformation efforts.
• Conduct regular clinically-focused, cross-functional strategic committee meetings (JOCs), focusing on assessment and evaluation of practice-specific quality and key performance metrics to identify opportunities for improvement.
• Schedule and host regularly scheduled meetings (JOCs) as well as breakout practice support meetings as needed based on practice needs.
• Conduct “deep dives” into specific quality measures and host review meetings as needed with practice.
• Oversee and partner with PTCs to perform data analysis to identify positive and/or negative trends in their quality data.
• Review areas of improvement within JOCs and/or as outreach to practice as needed.
• Serve as the subject matter expert for provider practices for all company programs for all lines of business and other care management initiatives, including the TCoC VBN Oncology program.
• Stay up to date on all VBN program related communications and disseminate to practice.
• Educate practices on all Carelon solutions to improve quality and cost of care.
• Maintain understanding of oncology and palliative care clinical domain and industry changes.
• Host internal Provider Enablement team education sessions once annually.
• Partner with key departments such as Carelon MBM, Carelon Palliative, Carelon Rx/Pharmacy, Network, Provider Solutions, Payment Innovation, Claims, etc.
• Partner with Carelon teams to host program-specific meetings and educate practices on various solutions that support practice transformation.
• Serve as a liaison with state and regional provider contracting account managers and third-party contracting agents for the VBN program.
• Execute GTM strategy in partnership with network managers and third-party vendor contracting agents.
• Support and mentor fellow clinicians.
• Work with leadership to identify and implement new solutions.
• Collect feedback from PCLs to identify practice trends to drive improvement of existing solutions or identify new solutions.
• Serve in a leadership capacity by leading special projects/initiatives.
• Support leadership as SMEs in special projects/initiatives based on clinical expertise.
• Provide internal learning and continuing education opportunities.
• Schedule/Host educational sessions for the Provider Enablement team.
• Seek out opportunities and resources for continuing education within the Oncology subspecialty.

Requirements

• Requires BA/BS in Nursing, Pharmacy or Pharm D. or MS in Social Work and a minimum of 7 years of clinical or medical management experience; or any combination of education and experience, which would provide an equivalent background.
• Current, valid, active unrestricted license (RN, NP, RPh, MSW, LCSW) in applicable state(s) or territory of the United States required.
• Multi-state licensure is required if this individual is providing services in multiple states.
• Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Skills

• Oncology practice leadership
• Value Based Care initiatives
• Clinical subject matter expertise
• Relationship management
• Practice enablement
• Practice transformation
• Data analysis
• Communication skills
• Problem-solving skills
• Facilitation skills
• Analytical skills

Location

• California
• Colorado
• Illinois
• New York
• Virginia

Work Type

• Field-based
• Hybrid
• Virtual

Experience Level

• Senior
• 7 years of clinical or medical management experience

Education Level

• BA/BS in Nursing, Pharmacy or Pharm D. or MS in Social Work

Salary/Compensations

• $112,880 to $203,184

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase
• 401k contribution
• Merit increases
• Paid holidays
• Paid Time Off
• Incentive bonus programs
• Medical, dental, vision
• Short and long term disability benefits
• 401(k) +match
• Stock purchase plan
• Life insurance
• Wellness programs
• Financial education resources

About the Company

• Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable.
• Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
• We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
• At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates.
• Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

Equal Opportunity

• Elevance Health 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.
• Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.
• Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration.