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Anthem, Inc. Practice Consultant in Cerritos, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

RN Practice Consultant, Clinical Quality - Remote California position

Location: Remote – Must Reside in California ; travel within California 3-4 days per week to provider offices; overnight stay within the State of CA on a quarterly basis, travel can be consolidated by consultant.

The RN Practice Consultant is responsible for creating a partnership relationship with providers and other initiatives to achieve this fully integrated and accountable system of care.

Primary duties may include, but are not limited to :

  • Assesses current practice patterns, assets and challenges utilizing available EPHC and non EPHC quality data.

  • In partnership with the PCP and the local provider solutions team, evaluates results of the initial assessment.

  • Establishes a project plan with the practice that establishes goals and objectives for HEDIS and CAHPS improvement.

  • Provides ongoing practice support and sustains the partnership.

  • Establishes regular meetings to track progress.

  • Support provider outreach to review health plan quality measures and to implement quality outreaches for provider groups.

Qualifications

Minimum Requirements:

  • Must have a current, unrestricted California RN license

  • Must live in the state of California

  • Requires an AS/BS in Nursing

  • 5 years of managed care experience;

  • 2 years of clinical experience;

  • 2 years of professional presentations to small and large audiences; or any combination of education and experience, which would provide an equivalent background.

  • Medical office operations experience

  • LEAN/Process Improvement experience, preferred

  • Experience with HEDIS and CAHPS focused quality improvement, hospital and provider experience strongly preferred.

  • This position requires local travel 3-4 days a week

    Preferred Qualifications:

  • BSN or MSN preferred.

    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.

    Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

    REQNUMBER: PS63009

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