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Senior Care Consultant, Provider Success
Elevance HealthCare Consultant Sr. focusing on provider success at Elevance Health.
About the role
Key responsibilities & impact- Conduct detailed evaluations of provider practices to determine their current capabilities in value-based care 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 and cost 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 financial and quality improvements within the health plan contract.
- Advise executives on developing segment-specific strategies in areas such as financial performance, 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
What you’ll need- Requires a BA/BS and minimum of 5 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, Medicare, and commercial plans strongly preferred.
- Strong understanding of value-based 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.
Benefits
Comp & perks- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs (unless covered by a collective bargaining agreement)
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
data analyticsroot cause analysisstrategy developmentpopulation health managementquality managementcost performance optimizationperformance metrics trackingaction plan executiondata-driven decision-makingconsulting
Soft Skills
relationship buildingcollaborationindependent judgmentcommunicationleadershipproblem-solvingstrategic thinkingadaptabilityeducational skillsstakeholder engagement