Anthem, Inc. Practice Consultant in Costa Mesa, California
SHIFT: Day Job
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.
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
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.