Care Consultant Sr. at Elevance Health in South Portland, Maine

Job Description:

Care Consultant Sr.




Location: Must reside in the state of Maine or New Hampshire, and be within 50 miles (1 hour commute) of our South Portland, ME office located at 2 GANNETT Drive or our Manchester, NH office located at 1155 ELM Street. Must be willing to visit providers (in person and virtually 25% - 30% of the time.)



NOTE: As part of our Hybrid Workplace Strategy, this role requires working in the local office 1- 2 days per week.


The Care Consultant Sr. for Provider Success is responsible for consulting with providers (Medicare and Commercial) to assess and deploy appropriate interventions to drive success in value-based care.


Primary Duties:

• Conducts comprehensive provider practice assessments to establish baseline value-based capabilities of each assigned provider to identify key opportunity areas and provider needs.
  
  


• Consultant support model consists of a continuous process of assessment, root cause analysis, strategy mapping, implementation and tracking to outcomes for each assigned provider.
  
  


• Supports practice implementation of action plans around population health management, patient satisfaction and quality and cost performance.
  
  


• Facilitation of collaborative meetings with staff at all levels in the provider organization as well as multiple internal stakeholders.
  
  


• Creates and hosts tailored learning opportunities to support the deployment of interventions.
  
  


• Training providers on the use of Elevance Health tools, data, and technology to drive performance in key metrics.
  
  


• Use of internal tools and technology to aid in strategy for value-based providers.
  
  


• Collaboration with peers across team to share best practices and participate in culture activities.
  
  


• Data analytics and ongoing tracking of key performance metrics for each assigned provider
  
  


• Documentation of all action plans, interventions, and provider activities in Salesforce.
  
  

• 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.
  
  

• Proficiency using PowerPoint and Excel.
  
  


• 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 preferred.
  
  


• Proficient in developing strategic and financial presentations for internal and external stakeholders.
  
  


• Consulting background preferred.