Provider Practice Consultant

1 month ago

Topeka, United States Elevance Health Full time

Provider Practice Consultant (OB / Maternity) JR129816

Location: This position will be a combination of virtual/telephonic, and field-based. Qualified candidates must reside in the state of Kansas .

Travel: This role will involve travel within the state of Kansas to meet with provider practices. Providers that are > than 100 miles will require virtual presentations. (Mileage is reimbursable.)

The OB Practice Consultant is responsible for creating a partnership relationship with providers and key Health Plan leads, to support initiatives and ensure our members receive a fully integrated and accountable system of care.

How you will make an impact:

  • Assess current practice patterns, assets, and challenges utilizing NCQA Standards, HEDIS audits, site reviews, and medical records reviews.

  • In partnership with the OB provider, evaluate the results of the initial assessment.

  • Establishes a project plan with the practice that establishes 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 caregivers.

  • Ensures OB providers are offering evidenced-based care to members and driving quality improvement

Minimum Requirements

  • Requires AS in nursing and minimum of 5 years of managed care experience and minimum of 2 years of clinical experience and minimum of 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 (RN, NP, or PA) clinical license in the state of Kansas required.

Preferred Qualifications:

  • BSN in nursing.

  • Managed care experience.

  • 2 years combination of OB/GYN, Mother/Baby, L & D clinical experience.

  • Outpatient/Clinic experience preferred.

  • Travel within the state of Kansas up to 20%.

Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Who We Are

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.

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.

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. 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.

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