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Practice Consultant

Location:

  • North Carolina, North Carolina
  • North Carolina, Durham
  • North Carolina, Winston
  • North Carolina, Raleigh
  • North Carolina, Asheville

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Description

Location: Remote but travel required in the North Carolina state


Responsible for creating and implementing quality provider and member initiatives within assigned markets. Through establishing a collaborative partnership with providers, quality initiatives will focus on driving performance guarantee outcomes and NCQA accreditation.

How you will make an impact:

  • Assesses quality performance of the OB provider practice, identify opportunities for improvement, asses current practice patterns, assets and challenges, NCQA Standards, HEDIS audits, medical records reviews and site reviews.

  • In partnership with the OB provider, evaluates quality opportunities for implementation by establishing a project plan with the practice that identifies goals and objectives for improvement.

  • Provides ongoing practice support and sustains the partnership.

  • Establishes regular meetings to track progress.

  • Improves the understanding and sensitivity to the unique needs of this population and the care givers.

  • Successful candidate will be adept at data interpretation with ability to develop and implement a quality plan to achieved.

Minimum Requirements:

  • Requires an AS/BS in nursing; Bachelors in nursing (BSN) strongly preferred. Minimum 5 years of managed care experience; minimum 2 years of clinical experience; minimum 2 years of professional presentations to small and large audiences; or any combination of education and experience, which would provide an equivalent background.

  • Current, unrestricted clinical license appropriate to field of specialty in the state of North Carolina (LVN/LPN, RN, NP, PA, etc.) RN required.

Preferred Skills, Capabilities and Experience:

  • Must be able to travel 50% of the time within the assigned territory.

  • Seeking energetic, self-directed candidates with an outgoing personality and great communication and presentation skills.

  • Experience with provider operations preferred.

  • Experience with maternal and child health required.

  • HEDIS experience also preferred.


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 careers.ElevanceHealthinc.com. 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 ability@icareerhelp.com for assistance.

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