ANTICIPATED START DATE: 06/09/2025

Please note this is the target date and is subject to change. Mindlance will send official notice ahead of a confirmed start date.
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.
Responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices and clinical processes.

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.
• Physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, population health and care management structures, data analytics and electronic health records preferred.
• Clinical background and/or MBA not required but a plus.

PREFERRED EXPERIENCE-

• BCBA Licensure is strongly preferred
• Master’s degree in the BH field and clinical licensure in the state of residence such as LCSW, LPC, and LMFT, are strongly preferred
• Prior Provider Outreach experience
• Utilization Management experience
• Provider Education experience
• Quality Improvement—Auditing experience
• Comfortable leading meetings with providers—CEO, compliance person, leadership
• Proficiency in Microsoft Excel strongly preferred
• Calling providers to schedule meetings to discuss provider’s use of identified billing codes. Documentation

Additional Details -

• M - F (8-5) Fully remote but must live within 50 miles of an Elevance Health PulsePoint(Office)
• Possible Temp to Hire Role

• Obtains and analyzes practice specific cost and quality data and reports for cost of care and quality opportunities, helps practice to target high risk members and gaps in care based on reports provided, supports practice implementation of population health management, care coordination and care management strategies, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums.
• Serves as the point of contact for providers and primary care practices for program on boarding, facilitation of routine meetings with the provider office, serves as the subject matter expert and liaison with Care Management to facilitate clinical processes between the company and the provider office, creates and hosts tailored learning opportunities to support the deployment of program interventions, hosts collaborative learning events that allow practices to learn from one another and national experts, use of the Provider Care Management Solutions (PCMS) tool and other data sources, and provides technical support for the Care Delivery Transformation program within the Enhanced Personal Health Care program (EPHC).
• Collaborates with EPHC team and other program stakeholders, including but not limited to: CDT Market lead, EPHC Provider Solutions team to meet provider and practice service needs.