Provider Success Consultant Senior

Provider Success Consultant Sr. (Value-Based)

Location:

MO-ST LOUIS, 1831 CHESTNUT ST (inactive), United States of America

Job Reference:

 

Provider Success Consultant Sr. - Missouri (Value-Based) JR171691

 

Hybrid 1: This role requires associates to be in-office 1 - 2  days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace.

 

The Care Consultant Sr. (Provider Success) is responsible for the provider performance of value-based care payment innovation and collaborative programs across the Missouri market. The Care Consultant Sr. builds and owns trusting partnerships with senior and executive leadership at provider organizations to drive provider performance in value-based arrangements and enhanced patient outcomes. With a performance-centric mindset, the Care Consultant Sr. is responsible for guiding several priority value-based provider organizations to achieve their targets across quality, utilization of resources, and patient experience. This individual works across all three lines of business (Medicare, Medicaid, and Commercial), marrying quantitative analysis with observational insights to best advise providers on their opportunities for performance improvement. The Care Consultant Sr. is passionate about population health, relationships, and insights to drive transformation across health care delivery and transformation.

 

How you will make an impact:

• Trusted Thought Partnership: Serve as key advisory to executive leadership on developing strategies to drive contractual and value-based success. This includes providing expertise and guidance in quality management, financial performance, value-based incentive programs, and practice operations.

• Relationship Management: Cultivate, maintain, and own strong, long-term relationships with executive leadership across population health, quality, finance, and clinical teams. Additionally, serve as an advocate internally to bring in key leaders and internal stakeholders to address provider’s needs. Facilitate cross-functional collaboration across payer and provider organizations.

• Consultative Evaluation: Conduct detailed evaluations of provider protocols, processes, and staffing to determine their current capabilities in value-based care and identify key areas for growth and improvement. Engage in a continuous process that iteratively drives toward performance success.

• Strategic Execution: Design and lead strategic plans and initiatives rooted in operational realities to enhance provider performance by highlighting improvement opportunities with innovative value-based care solutions. Marry insights from various data sources to continuously monitor and track key performance metrics for assigned providers, ensuring data-driven decision-making.

• Continuous Improvement: Identify opportunities within the team as well as the broader market to drive greater efficiency and efficacy, fostering a culture of excellent, accountability, and continuous improvement.

 

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:

• Detail orientation, with the ability to move between strategy and operations strongly preferred.

• Independent decision-making ability and judgement on complex issues, working under minimal supervision strongly preferred.

• Strong communicator, both in presentation form as well as in the written word strongly preferred.

• Experience building relationships, from C-suite to front-line staff strongly preferred. 

• Deep knowledge of Medicaid, Medicare, and commercial plans as well as value-based care models, principals, and practices strongly preferred.

• Consulting experience preferred.

• Strong analytical skills with the ability to interpret complex data and make strategic conclusions strongly preferred.

• Experience with Salesforce or similar CRM platforms strongly preferred.

 

How We Work

At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.

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.

Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.

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 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.