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Clinical Program Consultant

  • Job Family: Business Support
  • Type: Full time
  • Date Posted:
  • Req #: JR1512


  • LA, Baton Rouge



Clinical Program Consultant

Remote Monday- Friday with some travel to provider offices, must reside in Louisiana

This is an exciting opportunity to join a multidisciplinary team and work with primary care and behavioral health providers to ensure that member's psychosocial and whole health care needs are met. This positions will be ensuring that evidenced based clinical practices are delivered by Healthy Blue's provider network and that HEDIS gaps are closed. Further will help to develop community based linkages between providers to make transitions of care easier for our members. This is a work from home position with travel requirements. Clinical Psychologist's, Advanced Practice Nurses, Senior Licensed Behavioral Health Professionals are welcome to apply. If you are passionate about Whole Health Care this position is for you.

Responsible for providing clinical program and project support in a Medical Management department supporting Healthy Blue network Providers engaged in Value Based Programs.

How you will make an impact:

  • Develops and implements clinical programs for the management of members with specific medical conditions. These programs emphasize whole Person Care and the integration of Physical Health and Behavioral Health
  • Serves as a project manager for such medical management initiatives, such as medical review redesign, development of policies and procedures, development and implementation of training procedures and manuals, and the development and implementation of metrics and other reporting capabilities. Providing educational detailing to health plan providers
  • Represents the department on enterprise-wide and regional committees and program initiatives. Requires a BS in nursing or related medical management area and minimum of 5 years project/program management experience; or any combination of education and experience, which would provide an equivalent background.

Minimum Qualifications:

  • Requires a BS in nursing or related medical management area and minimum of 5 years project/program management experience; or any combination of education and experience, which would provide an equivalent background such as licensed clinical psychologist, senior licensed clinical social worker.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

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 leaders at all levels of the organization 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?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.

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