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Practice Consultant-Colorado Springs and surrounding areas PS1569 in Colorado Springs, CO at Anthem, Inc.

Date Posted: 2/12/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem Blue Cross, a proud member of the Anthem, Inc. family of companies,  it’s a powerful combination, andthe foundation upon which we’re creating greater access to care for  our members, greater value for our customers,and greater health for our communities. Join us and together we will drivethe future of health care. This is an exceptional opportunity to doinnovative work that means more to you and those we serve. 

This position is responsible for creating a partnership relationship with providers and other initiatives and implementing the concept of a Medical Home for our members 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 Medical Home Index, NCQA Standards, HEDIS audits, site reviews and medical records reviews.
  •  In partnership with the PCP, evaluates results of the initial assessment. Establishes a project plan with the practice that establishes goals and objectives for improvement. 
  • Provides ongoing practice support and sustains the partnership. Establishes regular meetings to track progress. 
  • Identifies and facilitates at least one practice in each MPC region to become SSB Physician Champions by obtaining NCQA certification as a Patient Centered Medical Home. 
  • Improves the understanding and sensitivity to the unique needs of this population and the care givers. 
  • Identify additional community resources.


Job Requirements

Requirements
  • 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. 
  • Current, unrestricted clinical license appropriate to field of specialty (RN, NP, PA, LCSW, LSW, etc.) as required. 
  • BSN or MSN preferred

This position will train in our Colorado Springs area office location.  Remote workmay be possible 3-9 months after training.



Anthem, Inc. is ranked as one ofAmerica’s Most Admired Companies among health insurers by Fortune magazine andis a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn moreabout our company and apply, please visit us at antheminc.com/careers. EOE.M/F/Disability/Veteran.



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