Provider Success Consultant – Pay for Quality

Elevance Health

Provider Success Consultant focused on consulting with providers and enhancing capabilities for quality improvement. Engaging with healthcare systems in a hybrid work environment.

Posted 6/17/2026full-timeMason • Florida, Kentucky, Ohio • 🇺🇸 United StatesMid-LevelSenior💰 $71,600 - $118,140 per yearWebsite

About the role

Key responsibilities & impact

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

What you’ll need

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.

Benefits

Comp & perks

comprehensive benefits package
incentive and recognition programs
equity stock purchase
401k contribution

ATS Keywords

✓ Tailor your resume

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools

data analyticsroot cause analysisstrategy developmentquality managementpopulation health managementperformance metricsaction plansinterventionsconsultinghealthcare experience

Soft Skills

analytical skillscommunicationcollaborationrelationship buildingindependent judgmentproblem-solvingleadershipstrategic decision-makingorganizational skillseducational skills