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Description SHIFT: Day JobSCHEDULE: Full-timeYour Talent. 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. Oncology Provider Liaison (Virginia Remote/Field) - PS36562Location: Virginia (Virginia located role: Responsible for oncology practice relationships in: VA, GA, NY, CT)As part of Anthem’s Oncology & Palliative Care Solutions team, contribute towards delivery of high quality and value care by developing and maintaining critical partnerships with oncology providers.
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.
Serves as a strategic solution lead for Oncology and Palliative Care, and in doing so, liaises with providers and other internal stakeholders to develop and implement field strategy, tactics, and resources and training.
Provide clinical input to inform solutions designed to improve care quality and value for members with cancer and serious illnesses.
Also serves as a subject matter expert for contracting efforts or for highly specialized components of the contracting process, or as part of oncology solution or program design across the organization.
Primary duties may include, but are not limited to:
Independently manages relationships with provider practices by providing orientation, on-going training, practice enablement, transformation and support.
Conducts regular clinically-focused, cross-functional strategic committee meetings, with focus on assessment and evaluation of practice specific quality and key performance metrics to identify opportunities for improvement.
Serve as the subject matter expert for provider practices on company programs for all lines of business and other care management initiatives.
Maintain understanding of oncology and palliative care clinical domain and industry changes, as well as company core quality/value programs and solutions.
Partners with key departments such as AIM Specialty Health, Aspire, CareMore, IngenioRx/Pharmacy, Network, Total Population Health, Provider Solutions, Provider Enablement, Payment Innovation, Claims, etc.
Serves as a liaison with state and regional provider contracting account managers.
Maintains understanding of industry practice and trends for oncology and palliative care.
Participates in identifying new solutions. Serves in a leadership capacity by leading associate resources and special projects/initiatives.
Qualifications
Requires BA/BS in a clinical field; and 5 years of oncology practice and physician dynamic and workflow experience; or any combination of education and experience, which will provide an equivalent background.
Experience with practice transformation/quality improvement, revenue cycle management, quality and efficiency metrics and data analytics is also required.
MS or other advanced clinical degree highly preferred.
Clinical license preferred (eg RN, PharmD).
Experience working within oncology care setting preferred.
Proficiency with MS Office suite programs (Word, Excel, PPT).
Travel may be required.
Virginia located role: Responsible for oncology practice relationships in: VA, GA, NY, CT
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran
REQNUMBER: PS36562
