Care Consultant Sr; Value- Provider Success Ohio Market

Provider Success Consultant Sr. (Ohio Market) – HR Requisition JR191126

Location: 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 & work‑life balance.

Travel: This position requires travel to provider locations in Ohio up to 50% of the time.

Eligibility: Candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless accommodation is granted as required by law.

• Comprehensive Provider Assessments: Conduct detailed evaluations of provider practices to determine current capabilities in value‑based care and identify key areas for growth and improvement.
• Consulting Support Model: Engage in a continuous process that includes assessment, root cause analysis, strategy development, implementation, and outcomes tracking for each provider.
• Implementation Support: Assist providers with executing action plans focused on population health management, patient satisfaction, and optimizing quality and cost performance.
• Collaboration and Facilitation: Lead collaborative meetings with provider staff and internal stakeholders to ensure alignment and successful deployment of strategic initiatives.
• Educational Initiatives: Create and deliver tailored learning opportunities to aid providers in implementing recommended interventions effectively.
• Training in Technology: Educate providers on using proprietary tools, data, and technology to improve performance in critical metrics, driving effective and efficient care.
• Data Analytics: Utilize data analytics to continuously monitor and track key performance metrics for assigned providers, ensuring data‑driven decision‑making.
• Documentation and Reporting: Accurately document all action plans, interventions, and provider activities in Salesforce to maintain comprehensive records and reporting capabilities.
• Relationship Development: Cultivate and maintain strong, long‑term relationships with physicians, providers, and healthcare systems to support financial and quality improvements within the health plan contract.
• Advisory Role: Advise executives on developing segment‑specific strategies in areas such as financial performance, incentive programs, quality management, and other operational areas impacting provider success.
• Independent Decision Making: Exercise independent judgment on complex issues, working under minimal supervision to evaluate variable factors and determine optimal courses of action.

• BA/BS and minimum of 5 years health care experience (or an equivalent combination of education and experience).

• Proven experience in consulting within the healthcare industry.
• Experience with Medicaid, Medicare, and commercial plans strongly preferred.
• Strong understanding of value‑based care principles and practices.
• Excellent analytical skills with the ability to interpret complex data and make strategic decisions.
• Experience with Salesforce or similar CRM platforms is preferred.

Salary range: $84,400 to $126,600, depending on experience, location, and other factors.
Benefits: Comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.

Cleveland, OH;
Columbus, OH.

Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws.

Applicants who require accommodation to participate in the job application process may contact elevancehealthj for assistance. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.