Senior Care Consultant

Elevance Health

Care Consultant Sr at Elevance Health fostering partnerships for enhanced patient outcomes. Consulting with providers to drive value-based care in Medicare, Medicaid, and Commercial lines.

Posted 7/14/2026full-timeIndianapolis • Kentucky, Ohio • 🇺🇸 United StatesSeniorWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in value-based care principles, population health management, and data analytics to drive quality improvement and operational success in healthcare settings. Proven ability to facilitate provider engagement and implement effective care management strategies.

Highest-signal resume keywords

Value-Based Care PrinciplesPopulation Health ManagementData AnalyticsHealthcare ConsultingAmbulatory Care Quality Metrics

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Data AnalysisQuality ImprovementCost ManagementClinical BackgroundPractice Transformation

Soft Skills

Effective CommunicationFacilitation SkillsStrategic Decision-Making

Tools & Technologies

Electronic Health RecordsSalesforceCRM Platforms

Certifications & Qualifications

BA/BS DegreeMBA

Industry Keywords

MedicaidMedicareCommercial PlansCare CoordinationProvider Engagement

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.
Obtain and analyze practice specific cost and quality data and reports for cost of care and quality opportunities.
Help practice target high risk members and gaps in care based on reports provided.
Supports practice implementation of population health management, care coordination and care management strategies.
Identify action plans for providers to implement to improve cost, quality, and the patient experience.
Participate in design, development, and implementation of community learning forums.
Serve as the point of contact for providers and primary care practices for program onboarding.
Facilitate routine meetings with the provider office.
Serve as the subject matter expert and liaison with Care Management to facilitate clinical processes between the company and the provider office.
Create and deliver tailored learning opportunities to aid providers in implementing recommended interventions effectively.
Advise executives on developing segment-specific strategies in areas such as financial performance, incentive programs, quality management, and other operational areas impacting provider success.

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.
Physician environment experience in practice transformation/quality improvement
Ambulatory care setting quality and efficiency metrics
Population health and care management structures
Data analytics and electronic health records
Clinical background and/or MBA.
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.
Effective communicator and facilitator.

Benefits

Comp & perks

Medical, dental, vision benefits
Paid holidays
Paid Time Off
401(k) + match
Stock purchase plan
Life insurance
Wellness programs
Financial education resources