Care Consultant Sr at Elevance Health

Seattle, Washington, United States

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Not SpecifiedCompensation

Senior (5 to 8 years)Experience Level

Full TimeJob Type

UnknownVisa

HealthcareIndustries

Requirements

BA/BS degree and minimum of 5 years health care experience; or any combination of education and experience which would provide an equivalent background

Responsibilities

Serve as key advisory to executive leadership on developing strategies to drive contractual and value-based success, including providing expertise and guidance in quality management, financial performance, value-based incentive programs, and practice operations
Cultivate, maintain, and own strong, long-term relationships with executive leadership across population health, quality, finance, and clinical teams; 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
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
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
Identify opportunities within the team as well as the broader market to drive greater efficiency and efficacy, fostering a culture of excellence, accountability, and continuous improvement
Build and own trusting partnerships with senior and executive leadership at provider organizations to drive provider performance in value-based arrangements and enhanced patient outcomes
Guide several priority value-based provider organizations to achieve their targets across quality, utilization of resources, and patient experience, working across Medicare, Medicaid, and Commercial lines of business, marrying quantitative analysis with observational insights to advise on performance improvement opportunities

Skills

Value-Based Care

Provider Relations

Population Health

Quantitative Analysis

Quality Management

Medicare

Medicaid

Commercial Insurance

Patient Experience

Healthcare Delivery

Elevance Health

Integrated health services and digital platform

About Elevance Health

Elevance Health focuses on enhancing the health of individuals throughout their lives by evolving from a traditional health benefits organization into a comprehensive health partner. The company serves over 118 million people, providing support at every stage of health through an integrated approach that addresses a wide range of health needs. Their services are backed by advanced capabilities and a digital health platform that streamlines access to care. Unlike many competitors, Elevance Health emphasizes a holistic view of health, aiming to redefine health and improve community well-being. The ultimate goal is to make health improvements accessible to everyone.

Indianapolis, IndianaHeadquarters

1944Year Founded

$309.4MTotal Funding

IPOCompany Stage

Enterprise Software, Social Impact, HealthcareIndustries

10,001+Employees

Benefits

Medical, dental, & vision insurance

401(k) + match

Paid holidays

Paid Time Off

Incentive bonus programs

Stock purchase plan

Life insurance

Wellness Programs

Financial education resources

Adoption & Surrogacy Assistance

Dependent-care Flexible Spending Account (DCFSA)

Parental Leave

Parental Transition Week

Critical Caregiving Leave

Risks

Departure of CFO John Gallina may create a gap in financial leadership.

Lawsuit against CMS over MA Star Ratings could lead to financial penalties.

CareBridge integration may face operational challenges, disrupting service delivery.

Differentiation

Elevance Health integrates whole health approach with digital health platform for comprehensive care.

Acquisition of CareBridge enhances home health services within Carelon division.

Strategic partnership with Clayton, Dubilier & Rice aims to innovate primary care delivery.

Upsides

AI integration in home health services can reduce hospital readmissions and improve outcomes.

Predictive analytics support early disease detection, aligning with Elevance's whole health approach.

Telehealth expansion offers opportunities to reach more patients remotely.

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