Provider Success Consultant - Pay for Quality

Anticipated End Date: 2026-06-29 Position Title: Provider Success Consultant - Pay for Quality Job Description: Care Consultant – Provider Success (P4Q) 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 and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting locations will not be considered for employment, unless an accommodation is granted as required by law. Note: This position will require occasional travel to nearby provider locations as needed. East Coast or Central Time Zones preferred. The Care Consultant is responsible for fostering long-term partnerships with our providers and driving enhanced patient outcomes. We are seeking a dedicated and experienced Provider Success Consultant to join our team and drive the achievement of value-based care in Medicare and Medicaid lines of business. The ideal candidate will be responsible for consulting with providers, conducting assessments, and deploying interventions to enhance capabilities and performance. This role involves a variety of tasks such as strategy development, implementation support, training, and data analysis to ensure the success of our provider partners. If you are passionate about transforming healthcare delivery and possess the expertise to help providers succeed in quality improvement programs, we invite you to apply for this exciting opportunity! How you will make an impact: Comprehensive Provider Assessments: Conduct detailed evaluations of provider practices to determine their current capabilities 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 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 the 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 quality improvements within the health plan contract. Advisory Role: Advise executives on developing segment-specific strategies in areas such as 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. Minimum Requirements: Requires a BA/BS and minimum of 3 years health care experience; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications: Proven experience in consulting within the healthcare industry. Experience with Medicaid and Medicare plans strongly preferred. Strong understanding of quality-focused 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. For candidates working in person or virtually in the below locations, the salary* range for this specific position is $71,600 to $118,140. Locations: Illinois; Minnesota; New York; Cleveland, OH and Columbus, OH. In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws. * The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations. No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. Job Level: Non-Management Exempt Workshift: 1st Shift (United States of America) Job Family: PND > Value Based Solutions Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health. Who We Are Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. 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. 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration. NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13. Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Join our Talent Community and stay connected with company news, information, and future job opportunities. Fueled by our bold purpose to improve the health of humanity, we are transforming from a traditional health benefits organization into a lifetime trusted health partner. Our nearly 100,000 associates serve approximately 100M+ people, at every stage of health. We address a full range of needs with an integrated whole health approach, powered by industry-leading capabilities and a digital platform for health. 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. 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. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration Please visit the Contract Worker Community Page. Elevance Health is an Equal Opportunity Employer/Disability/Veterans.