Elevance Health Hiring for Provider Collaboration Mgr at CARY, North Carolina Full Time

Provider Collaboration Mgr

• Job Family: Digital and Technology

• Type: Full time

• Date Posted:Feb 27, 2023

• Req #: JR56324

Location:

• NC, CARY

• North Carolina, North Carolina

• North Carolina, Raleigh

• North Carolina, Charlotte

Description

Responsible for providing support to providers in-person and virtually to improve the effectiveness and efficiencies of provider practices. Receives guidance and direction in providing operational and administrative support for the implementation, auditing and resolution of loading issues for payment innovation programs.

How you will make an Impact;

• Works to advance the Medicaid Transformation efforts through strategic support for Advanced Medical Home (AMH) Tier III practices.

• Supports and facilitates value based JOCs (Joint Operating Committee meetings).

• Obtains and analyzes quality metrics and reports for care opportunities, supports practice implementation of care coordination and care management, 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.

• Collaborates with all Advanced Medical Home (AMH) teams including but not limited to: provider collaboration manager, provider clinical liaison, provider contracting and network relations consultants to meet provider and practice service needs.

• Actively participates in developing AMH program recommendations and action plans.

• Develops and maintains contact database and disseminates communications to providers as necessary.

• Aggregate and analyze provider data form various sources to recommend and implement solutions to assist with provider collaboration activities.

• Collaborates with all Advanced Medical Home (AMH) teams including but not limited to: provider collaboration manager, provider clinical liaison, provider contracting and network relations consultants to meet provider and practice service needs.

• Actively participates in developing AMH program recommendations and action plans.

• Supports the efforts of providers and practice teams related to care delivery interventions resulting in growth towards AMH Tier 3 attestation and ultimately cost of care savings.

• Promotes practice transformation towards meeting the goals specified by NC-DHHS.

Minimum Requirements:

• Requires a BA/BS degree and a minimum of 3 years’ experience in Medicaid and/or public health health care delivery systems, project management; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Public health environment, health policy, practice management experience strongly preferred

• Experience with value based and/or health care contracting strongly preferred

• Claims and capitation knowledge

• Knowledge of Care Management

• May require up to 25% travel

• Previous Medicaid experience preferred.

• Local County Department of Human Services experience preferred.

Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. 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 [email protected] for assistance.

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Equal Opportunity Employer / Disability / Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

• EEO Policy Statement

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• Privacy Notice for California Residents

Elevance Health, Inc. is an E-verify Employer

Need Assistance?

Email us ([email protected]) or call 1-877-204-7664