Job Description
Carelon Medical Benefits Management
Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations and might have some onsite travel required.
Schedule: This position is set to start mid January. The ongoing scheduled will be Monday-Friday 8-5.
A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
The Oncology Practice Enablement Clinician is responsible and accountable for partnering and building critical relationships with oncology practices (providers and administrative staff) to drive success with key strategic solutions that involve practice collaboration and enablement to improve member care quality and value within the development of a Value Based Network (VBN) for the Total Cost of Care (TCOC) in oncology care.
How You Will Make An Impact
• Independently manages relationships with provider practices by providing orientation, on-going training, practice enablement, transformation, and support.
• Onboards practice to VBN program.
• Provides ongoing support through Practice Support break out meetings to meet practice needs.
• Partners with PTC to implement and monitor practice transformation efforts.
• Conducts regular clinically-focused, cross-functional strategic committee meetings (JOCs), with focus on assessment and evaluation of practice specific quality and key performance metrics to identify opportunities for improvement.
• Schedules and hosts regularly scheduled meeting (JOCs) as well as break out practice support meetings as needed based on practice needs.
• Conducts “deep dives” into specific quality measure and hosts review meetings as needed with practice.
• Oversee and partners with PTCs to perform data analysis to identify positive and/or negative trends in their quality data.
• Review areas of improvement within JOCs and/or as outreach to practice as needed.
• Serve as the subject matter expert for provider practices for all company programs for all lines of business and other care management initiatives to include TCoC VBN Oncology program.
• Stays up to date on all VBN program related communications and disseminates to practice.
• Educates practice to all organization solutions to improve quality and cost of care.
• Maintain understanding of oncology and palliative care clinical domain and industry changes.
• Hosts internal Provider Enablement team education session once annually.
• Partner with organization teams to host program specific meetings and educate practices to various solutions that support practice transformation.
• Serves as a liaison with state and regional provider contracting account managers and third-party contracting agent for VBN program.
• Executes GTM strategy in partnership with network managers and third-party vendor contracting agent.
Minimum Requirements
• Requires BA/BS in Nursing, Pharmacy or Pharm D.
• Minimum of 5 years of clinical or medical management experience; or any combination of education and experience, which would provide an equivalent background.
• Current, valid, active unrestricted license (RN, NP or RPh) in applicable state(s) or territory of the United States required. Multi-state licensure is required if this individual is providing services in multiple states.
Preferred Skills, Capabilities, And Experiences
Oncology Certified Nurse Certification preferred.
Medical Oncology Clinical Experience Preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Experience in oncology preferred.
For candidates working in person or remotely in the below location(s), the salary range for this specific position is $105,336 to $180,576.
Locations:
California; Colorado; District of Columbia (Washington, DC); Maryland, Nevada; New York; Washington State
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 considered to be 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.
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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
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-1+. 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, ****** 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 [email protected] for assistance.
Location: The ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations and might have some onsite travel required.
Schedule: This position is set to start mid January. The ongoing scheduled will be Monday-Friday 8-5.
A proud member of the Elevance Health family of companies, Carelon Medical Benefits Management, formerly AIM Specialty Health, is a benefit-management leader in Illinois. Our platform delivers significant cost-of-care savings across an expanding set of clinical domains, including radiology, cardiology and oncology.
The Oncology Practice Enablement Clinician is responsible and accountable for partnering and building critical relationships with oncology practices (providers and administrative staff) to drive success with key strategic solutions that involve practice collaboration and enablement to improve member care quality and value within the development of a Value Based Network (VBN) for the Total Cost of Care (TCOC) in oncology care.
How You Will Make An Impact
• Independently manages relationships with provider practices by providing orientation, on-going training, practice enablement, transformation, and support.
• Onboards practice to VBN program.
• Provides ongoing support through Practice Support break out meetings to meet practice needs.
• Partners with PTC to implement and monitor practice transformation efforts.
• Conducts regular clinically-focused, cross-functional strategic committee meetings (JOCs), with focus on assessment and evaluation of practice specific quality and key performance metrics to identify opportunities for improvement.
• Schedules and hosts regularly scheduled meeting (JOCs) as well as break out practice support meetings as needed based on practice needs.
• Conducts “deep dives” into specific quality measure and hosts review meetings as needed with practice.
• Oversee and partners with PTCs to perform data analysis to identify positive and/or negative trends in their quality data.
• Review areas of improvement within JOCs and/or as outreach to practice as needed.
• Serve as the subject matter expert for provider practices for all company programs for all lines of business and other care management initiatives to include TCoC VBN Oncology program.
• Stays up to date on all VBN program related communications and disseminates to practice.
• Educates practice to all organization solutions to improve quality and cost of care.
• Maintain understanding of oncology and palliative care clinical domain and industry changes.
• Hosts internal Provider Enablement team education session once annually.
• Partner with organization teams to host program specific meetings and educate practices to various solutions that support practice transformation.
• Serves as a liaison with state and regional provider contracting account managers and third-party contracting agent for VBN program.
• Executes GTM strategy in partnership with network managers and third-party vendor contracting agent.
Minimum Requirements
• Requires BA/BS in Nursing, Pharmacy or Pharm D.
• Minimum of 5 years of clinical or medical management experience; or any combination of education and experience, which would provide an equivalent background.
• Current, valid, active unrestricted license (RN, NP or RPh) in applicable state(s) or territory of the United States required. Multi-state licensure is required if this individual is providing services in multiple states.
Preferred Skills, Capabilities, And Experiences
Oncology Certified Nurse Certification preferred.
Medical Oncology Clinical Experience Preferred.
For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Experience in oncology preferred.
For candidates working in person or remotely in the below location(s), the salary range for this specific position is $105,336 to $180,576.
Locations:
California; Colorado; District of Columbia (Washington, DC); Maryland, Nevada; New York; Washington State
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 considered to be 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.
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. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
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-1+. 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, ****** 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 [email protected] for assistance.
💡 Quick Summary
Seeking a career-building opportunity? The Oncology Practice Enablement Clinician position is now open for candidates interested in the Health Jobs sector. This role in Chicago offers a professional environment and growth potential.
Requirement Snapshot: Candidates should possess basic communication skills, a proactive attitude, and the ability to work in a team. Experience in Health Jobs is a plus.
