Job ID: JP00044413

Anticipated Start Date: 04/22/24

Please note this is the target date and is subject to change. BCforward will send official notice ahead of a confirmed start date.

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices and clinical processes.

***Licensure is required***

Primary duties may include, but are not limited to:

• Obtains and analyzes practice specific cost and quality data.
• Reports for cost of care 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 to improve cost, quality and the 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 on boarding, facilitation 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.
• Hosts collaborative learning events that allow practices to learn from one another.
• National experts, use of the Provider Care Management Solutions (PCMS) tool and other data sources.
• Provides technical support for the Care Delivery Transformation program within the Enhanced Personal Health Care program (EPHC).
• 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.

Requirements:

• Requires a BA/BS; 5-10 years health care experience; or any combination of education and experience, which would provide an equivalent background.
• Current active unrestricted license such as RN, LCSW, LMSW, LMHC, LPC, LBA (as allowed by applicable state laws), LMFT or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.
• Licensure is a requirement for this position.

Preferred:

• 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.
• Clinical background and/or MBA not required but a plus.

Job Type: Contract

Additional Details:

• Remote
• Work Schedule: Monday -Friday 8:00AM-5:00PM (EST)

About BCforward:

Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward’s 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

This posting is not an offer of employment. All applicants applying for positions in the United States must be legally authorized to work in the United States. The submission of intentionally false or fraudulent information in response to this posting may render the applicant ineligible for the position. Any subsequent offer of employment will be considered employment at-will regardless of the anticipated assignment duration.