Anthem Care Consultant Sr - PS8799 (GA Locations: Atlanta, Macon or Savannah) in Macon, Georgia

Care Consultant Sr - PS8799 (GA Locations: Atlanta, Macon or Savannah)


Location: Georgia, United States

Field: Provider Network Management

Requisition #: PS8799

Post Date: Jun 28, 2018

  • Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Responsible for consulting with providers to improve the effectiveness and efficiencies of provider practices and clinical processes.

Primary duties may include, but are not limited to:

  • Obtains and analyzes practice specific cost and quality data and reports for cost of care and quality opportunities, helps practice to target high risk Anthem members and gaps in care based on reports provided, supports practice implementation of population health management, care coordination and care management strategies, drives outcomes through action plans with providers to improve cost, quality and the patient experience.

  • Serves as the point of contact for providers and primary care practices for program on boarding, facilitation of routine meetings between Anthem and the provider office, serves as the subject matter expert and liaison with Anthem Care Management to facilitate clinical processes between the company and the provider office, facilitates tailored learning opportunities to support the deployment of program interventions, use of Anthem’s Population Health Technology Platform and other data sources, and provides technical support for the Care Delivery Transformation program within Anthem’s Value Base Purchasing Program for its contracted providers.

  • 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.

  • Requires a BA/BS; or any combination of education and experience, which would provide an equivalent background

  • 5-10 years health care experience

  • 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.

  • Health care consulting, clinical experience, and/or MBA not required but a plus.

This position may be located in any of the following locations; Atlanta, Macon or Savannah, GA. Telecommute is an option, but the candidate must reside in the surrounding geographical area.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran