Elevance Health - Saint Louis, MO

posted 2 months ago

Full-time - Mid Level
Saint Louis, MO
11-50 employees
Insurance Carriers and Related Activities

About the position

The Oncology Practice Enablement Clinician at Elevance Health is responsible for fostering relationships with oncology practices to enhance care quality and value through strategic solutions. This role involves onboarding practices to the Value Based Network (VBN) program, providing ongoing support, conducting meetings to assess quality metrics, and serving as a subject matter expert on company programs. The clinician will also partner with various teams to implement practice transformation efforts and ensure effective communication of program updates.

Responsibilities

  • Independently manage relationships with provider practices, providing orientation and ongoing training.
  • Onboard practices to the VBN program.
  • Provide ongoing support through Practice Support meetings to meet practice needs.
  • Partner with PTC to implement and monitor practice transformation efforts.
  • Conduct regular clinically-focused strategic committee meetings to assess quality metrics and identify improvement opportunities.
  • Schedule and host regular meetings and breakout sessions as needed based on practice needs.
  • Conduct deep dives into specific quality measures and host review meetings as necessary.
  • Oversee and partner with PTCs to perform data analysis on quality data trends.
  • Review areas of improvement within JOCs and outreach to practices as needed.
  • Serve as the subject matter expert for provider practices on all company programs and care management initiatives.
  • Stay updated on VBN program communications and disseminate information to practices.
  • Educate practices on organizational solutions to improve quality and cost of care.
  • Maintain understanding of oncology and palliative care clinical domains and industry changes.
  • Host internal education sessions for the Provider Enablement team annually.
  • Partner with organization teams to host program-specific meetings and educate practices on solutions supporting transformation.
  • Serve as a liaison with state and regional provider contracting account managers.

Requirements

  • BA/BS in Nursing, Pharmacy, or Pharm D.
  • Minimum of 5 years of clinical or medical management experience, or equivalent education and experience.
  • Current, valid, active unrestricted license (RN, NP, or RPh) in applicable state(s) or territory of the United States.

Nice-to-haves

  • Oncology Certified Nurse Certification preferred.
  • Medical Oncology clinical experience preferred.
  • Strong oral, written, and interpersonal communication skills.
  • Problem-solving, facilitation, and analytical skills.

Benefits

  • Comprehensive benefits package
  • Incentive and recognition programs
  • Equity stock purchase
  • 401k contribution
  • Paid holidays
  • Paid Time Off
  • Medical, dental, and vision insurance
  • Short and long-term disability benefits
  • Life insurance
  • Wellness programs
  • Financial education resources
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