Job Details

ID #2344876
State Texas
City Fortworth
Full-time
Salary USD TBD TBD
Source Anthem
Showed 2019-05-24
Date 2019-05-24
Deadline 2019-07-23
Category Et cetera
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Practice Consultant (Texas)- PS21607

Texas, Fortworth 00000 Fortworth USA

Vacancy expired!

Practice Consultant (Texas)- PS21607Location: Texas, United StatesNewRequisition #: PS21607Y ourTalent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re

creating greater access to care for our members, greater value for our

customers, and greater health for our communities. Join us and together we will drive the future of health care .This

is an exceptional opportunity to do innovative work that means more to you and

those we serve at one of America's leading health benefits companies and a

Fortune Top 50 Company.The Practice Consultant responsible for

creating a partnership relationship with providers and other initiatives and

implementing the concept of a Medical Home for our members to achieve this

fully integrated and accountable system of care.Primary duties mayinclude, but are not limited to:

Creates partnerships with Provider groups toeducate on HEDIS measures and best practices for gap closure

Conducts HEDIS medical chartreviews.

Review and perform qualityaudits of supplemental data and Clinical Practice Guidelines

Providesongoing practice support and sustains the partnership.

Establishesregular meetings to track progress.

Improvesthe understanding and sensitivity to the unique needs of this Medicarepopulation.

Supportsthe annual HEDIS Medical Record Review (MRR)

Professional audience presentation experience

Position Location –Texas onsite

Requiresan AS/BS in nursing; 5 years of managed care experience; 2 years of clinicalexperience; 2 years of professional presentations to small and large audiences;

3years of HEDIS experience- required

Current,unrestricted RN license

NCQAStandards, HEDIS audits, site reviews and medical records reviews.

Bilingual-Spanish, Chinese, Vietnamese or Korean- highlypreferred

Experiencesupporting Diverse population

Must be able to travel

Anthem, Inc. is ranked as one of America’sMost Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityIncmagazine Top 50 Company for Diversity. To learn more about our company andapply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

Vacancy expired!

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