Anthem, Inc. Care Consultant in Morristown, New Jersey
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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.
Responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices and clinical processes.
Primary duties may include, but are not limited to:
Obtains and analyzes practice quality data and quality opportunities
Helps practice to target high risk Anthem members and gaps in care based on reports provided
Supports practice implementation of population health management care coordination and care management strategies
Identifies action plans for providers to implement quality of patient experience
Participates in design, development, and implementation of community learning forums
Serves as the point of contact for providers and primary care practices for program onboarding andfacilitation of routine meetings between Anthem and the provider office
Serves as the subject matter expert and liaison with Anthem Care Management to facilitate clinical processes between the company and the provider office
Creates and hosts tailored learning opportunities to support the deployment of program interventions, use of the Provider Care Management Solutions (PCMS) tool and other data sources
Collaborates with EPHC team and other program stakeholders, including but not limited to: CDT Market lead, EPHC Provider Solutions team to meet provider and practice service needs.
Requires a BA/BS; 5 years health care experience; or any combination of education and experience, which would provide an equivalent background.
Clinical background and/or MBA
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.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positi