Capital Modelling Consultant developing cutting - edge solutions for insurers to optimize capital modelling and management within the UK P&C Consulting Practice. Collaborating with market leaders to enhance business strategies.
About the role
- OB Practice Consultant at Elevance Health engaged in building partnerships and improving integrated healthcare systems. Working virtually with flexibility and autonomy while educating providers on best practices.
Responsibilities
- creating a partnership relationship with providers and key health plan leads
- support initiatives and ensure members receive a fully integrated and accountable system of care
- Assess current practice patterns, assets, and challenges utilizing NCQA Standards
- HEDIS audits, site reviews, and medical records reviews
- In partnership with the OB provider, evaluate the 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
- Improves the understanding and sensitivity to the unique needs of this population and the caregivers
- Ensures OB providers are offering evidenced-based care to members and driving quality improvement
Requirements
- Requires AS in nursing
- minimum of 5 years of managed care experience
- minimum of 2 years of clinical experience
- minimum of 2 years of professional presentations to small and large audiences
- Current, unrestricted clinical license appropriate to field of specialty (LVN/LPN, RN, NP, PA, LCSW, LSW, etc.) as required
- BSN or MSN preferred
- 2 years of combination of OB/GYN, Mother/Baby, L&D clinical experience highly preferred
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
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