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Patient Centered Care Consult Sr - Based in Office of Cary, NC with 50% in-state travel - PS25948

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Provider Network Management
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PS25948 Requisition #

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.

 

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

 

Patient Centered Care Consultant Sr. – Based in Cary, NC with about 50% in-state travel.

 

Serves as a team business lead responsible for consulting with Advanced Medical Home providers to improve the effectiveness and efficiencies of provider practices.  Primary duties may include, but are not limited to:
• Obtains and analyzes quality metrics and reports for care opportunities, supports practice implementation of care coordination and care management, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums. 
• Collaborates with Provider Collaboration team including but not limited to: Care Delivery Transformation manager, clinical liaison, business analysts, provider contractors and network relations reps to meet provider and practice service needs. 
• Actively participates or leads in developing program recommendations and action plans (Internal).
• Makes recommendations to providers and practice teams on office based care delivery interventions resulting in cost of care savings and improved health outcomes for patients.
• Promotes practice transformation to team based patient centered care delivery.
• Provides education for practices to develop expertise with metrics and data review for quality improvement.
• Actively participates in various community and multi-department committees to assure effective program implementation. 
• Tracks progress of program and prepares status reports to management or senior management. 
• Maintains up to date knowledge on Patient Centered medical Home, Care Delivery System Redesign, North Carolina Advanced Medical Home and Accountable Care Organizations.

 

• Requires a BA/BS; 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, and electronic health records preferred.
• Strong presentation skill required.
• Medicaid experience or background strongly preferred.
• Communication, relationship building, critical thinking skills preferred.
• Requires about 50% travel within the state.

 

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. An Equal Opportunity employer/Disability/Veteran.

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