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About the Role

The Care Consultant is responsible for fostering long-term partnerships with our providers and driving enhanced patient outcomes. We are seeking a dedicated and experienced Provider Success Consultant to join our team and drive the achievement of value-based care in Medicare and Medicaid lines of business. This role involves consulting with providers, conducting assessments, and deploying interventions to enhance capabilities and performance, including strategy development, implementation support, training, and data analysis.

Responsibilities

Conduct detailed evaluations of provider practices to determine their current capabilities and identify key areas for growth and improvement.
Engage in a continuous process that includes assessment, root cause analysis, strategy development, implementation, and outcomes tracking for each provider.
Assist providers with executing action plans focused on population health management, patient satisfaction, and optimizing quality performance.
Lead collaborative meetings with provider staff and internal stakeholders to ensure alignment and successful deployment of strategic initiatives.
Create and deliver tailored learning opportunities to aid providers in implementing recommended interventions effectively.
Educate providers on using proprietary tools, data, and technology to improve performance in critical metrics, driving effective and efficient care.
Utilize data analytics to continuously monitor and track the key performance metrics for assigned providers, ensuring data-driven decision-making.
Accurately document all action plans, interventions, and provider activities in Salesforce to maintain comprehensive records and reporting capabilities.
Cultivate and maintain strong, long-term relationships with physicians, providers, and healthcare systems to support quality improvements within the health plan contract.
Advise executives on developing segment-specific strategies in areas such as incentive programs, quality management, and other operational areas impacting provider success.
Exercise independent judgment on complex issues, working under minimal supervision to evaluate variable factors and determine optimal courses of action.

Requirements

Requires a BA/BS and minimum of 3 years health care experience; or any combination of education and experience, which would provide an equivalent background.
Proven experience in consulting within the healthcare industry.
Experience with Medicaid and Medicare plans strongly preferred.
Strong understanding of quality-focused care principles and practices.
Excellent analytical skills with the ability to interpret complex data and make strategic decisions.
Experience with Salesforce or similar CRM platforms is preferred.

Skills

Value-based care
Medicare
Medicaid
Consulting
Assessment
Intervention deployment
Strategy development
Implementation support
Training
Data analysis
Population health management
Patient satisfaction
Quality performance optimization
Collaboration
Facilitation
Salesforce
CRM platforms

Location

Hybrid
East Coast
Central Time Zones

Work Type

Hybrid
1-2 days in-office per week

Experience Level

Minimum of 3 years health care experience
Non-Management Exempt

Education Level

BA/BS

Salary/Compensations

$71,600 to $118,140

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

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler.
A Fortune 25 company with a longstanding history in the healthcare industry.
Creating a culture designed to advance strategy and lead to personal and professional growth.
Values and behaviors are the root of our culture.
Offer market-competitive total rewards.

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.