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Practice Consultant- Denver, Boulder, Jefferson County, and surrounding areas PS1558 in Boulder, CO at Anthem, Inc.

Date Posted: 2/12/2018

Job Snapshot

  • Employee Type:
  • Location:
    Boulder, CO
  • Job Type:
  • Experience:
    At least 5 year(s)
  • Date Posted:

Job Description

RYour Talent. Our Vision. At Anthem Blue Cross, a proud member of the Anthem, Inc. family of companies,  it’s a powerful combination, and the 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 drive the future of health care. This is an exceptional opportunity to do innovative 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. 

Job 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 Denver area office location.  Remote work may be possible 3-9 months after training.

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