Provider Success Consultant Sr.

Provider Success Consultant Sr. (Value-Based)This role requires associates to be in-office 1-2 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. This position will support providers in the Washington D.C. and Maryland areas.The Care Consultant Sr. (Provider Success) is responsible for the provider performance of value-based care payment innovation and collaborative programs across the Washington, D.C. and Maryland markets. The Care Consultant Sr. builds and owns trusting partnerships with senior and executive leadership at provider organizations to drive provider performance in value-based arrangements and enhanced patient outcomes. With a performance-centric mindset, the Care Consultant Sr. is responsible for guiding several priority value-based provider organizations to achieve their targets across quality, utilization of resources, and patient experience. This individual works across the Medicaid line of business, marrying quantitative analysis with observational insights to best advise providers on their opportunities for performance improvement. The Care Consultant Sr. is passionate about population health, relationships, and insights to drive transformation across health care delivery and transformation.How you will make an impact:Trusted Thought Partnership: Serve as key advisory to executive leadership on developing strategies to drive contractual and value-based success. This includes providing expertise and guidance in quality management, financial performance, value-based incentive programs, and practice operations.Relationship Management: Cultivate, maintain, and own strong, long-term relationships with executive leadership across population health, quality, finance, and clinical teams. Additionally, serve as an advocate internally to bring in key leaders and internal stakeholders to address provider's needs. Facilitate cross-functional collaboration across payer and provider organizations.Consultative Evaluation: Conduct detailed evaluations of provider protocols, processes, and staffing to determine their current capabilities in value-based care and identify key areas for growth and improvement. Engage in a continuous process that iteratively drives toward performance success.Strategic Execution: Design and lead strategic plans and initiatives rooted in operational realities to enhance provider performance by highlighting improvement opportunities with innovative value-based care solutions. Marry insights from various data sources to continuously monitor and track key performance metrics for assigned providers, ensuring data-driven decision-making.Continuous Improvement: Identify opportunities within the team as well as the broader market to drive greater efficiency and efficacy, fostering a culture of excellent, accountability, and continuous improvement.Minimum Requirements: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.Preferred Skills, Capabilities and Experiences:Detail orientation, with the ability to move between strategy and operations strongly preferred.Independent decision-making ability and judgement on complex issues, working under minimal supervision strongly preferred.Strong communicator, both in presentation form as well as in the written word strongly preferred.Experience building relationships, from C-suite to front-line staff strongly preferred.Deep knowledge of Medicaid, Medicare, and commercial plans as well as value-based care models, principals, and practices strongly preferred.Consulting experience preferred.Strong analytical skills with the ability to interpret complex data and make strategic conclusions strongly preferred.Experience with Salesforce or similar CRM platforms strongly preferred.For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $87,108 to $143,106. Locations: Maryland and District of Columbia (Washington, D.C.)In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.*The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.Elevance Health is a health company dedicated to improving lives and communities and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. 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.Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws. 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 elevancehealthjobssupport@elevancehealth.com for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.