Healthcare Consultant

7 hours ago

Topeka, Kansas, United States Elevance Health Full time

Job Description:

This role 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.

Key Responsibilities:

  • 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.

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%.

About Elevance Health:

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.

Our Culture:

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.

Benefits:

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.

Hybrid Workforce Strategy:

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.

Equal Employment Opportunity:

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.

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