Care Consultant Sr (IN, KY, OH)

About the role

The Care Consultant Sr (IN, KY, OH) role is designed to foster long-term partnerships with providers and enhance patient outcomes through value-based care initiatives across Medicare, Medicaid, and Commercial lines of business.

Responsibilities

• Conduct detailed evaluations of provider practices to assess their capabilities in value-based care and identify areas for improvement.
• Obtain and analyze practice-specific cost and quality data and reports to inform targeted interventions and strategies.
• Support the implementation of population health management, care coordination, and care management strategies for high-risk members.
• Create and deliver tailored learning opportunities to assist providers in effectively implementing recommended interventions.
• Advise executives on developing segment-specific strategies in areas such as financial performance, incentive programs, quality management, and operational improvements impacting provider success.

Requirements

• A Bachelor's Degree (BA/BS) and minimum of 5 years of health care experience; or a combination of education and experience providing an equivalent background.
• Experience in physician environment, practice transformation, quality improvement, ambulatory care settings, quality and efficiency metrics, population health, and care management structures.
• Strong understanding of value-based care principles and practices, excellent analytical skills, and the ability to interpret complex data and make strategic decisions.
• Experience with data analytics and electronic health records, proven consulting experience in the healthcare industry, and familiarity with Medicaid, Medicare, and commercial plans.
• Experience with Salesforce or similar CRM platforms, effective communication and facilitation skills.

Preferred Skills, Capabilities And Experiences

• 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.
• 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

Elevance Health offers a comprehensive benefits package including market-competitive total rewards, medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs, and financial education resources. The company also provides a range of accommodations for candidates requiring them to be vaccinated against COVID-19 and Influenza.

Pay

Compensation details are confidential and not specified in this posting.

Schedule

The Care Consultant Sr role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.