Location: This is a remote position, the ideal candidate must reside in Western New York or within approximately 50 miles of Buffalo, NY.

How you will make an impact:

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:

• Supports the efforts of the WNY Network Relations team and analyzes practice specific reports for cost of care and quality opportunities.
• Actively participates in developing quality measure gaps-in-care reports and helps practice to target high risk.
• Provides education for practices to develop expertise with metrics and data review for quality improvement.
• 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.
• The role will support the HEDIS project team through facilitating record retrieval and supporting supplemental data review process. A strong knowledge of contacts at WNY regional provider groups would be an asset.

Minimum 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.

Preferred Skills, Capabilities and Experiences:

• 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.

Be part of an Extraordinary Team

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, 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 in certain patient/member-facing roles 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 2022, has been ranked for five years running as one of the 2023 World's Most Admired Companies by Fortune magazine, and is a growing Top 20 Fortune 500 Company. 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 ability@icareerhelp.com for assistance.