Provider Clinical Liaison Georgia- 63256
Location: Georgia
Description: WellPoint is at the momment seeking for Provider Clinical Liaison Georgia- 63256 right now, this career will be placed in Georgia. For detail informations about this career opportunity kindly read the description below. Blue Cross Blue Shield of Georgia is a proud member of the WellPoint family of companies. At BCBS of Georgia , we are dedicated to improving the lives of the people we s! erve and the health of our communities.
Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
Responsible for Patient Centered Care (PC2) program implementation focusing on partnering and building relationships with providers and their office staff to support providers & PC2 care teams engagement in care management transformation.
Primary duties may include, but are not limited to:
Travel throughout designated territory to meet with medical groups, providers and PCP care team to discuss PC2 Care management transformation and support those practices that would benefit most from care planning/care coordination activities.
Serves as the clinical point of contact for the PC2 care team by facilitating bi-directional communication with our internal care management teams for the management of high risk members
!
Trains providers & Clinical Coordinators on care manageme! nt tools to improve adoption of the program within the practice.
Conducts clinical review meetings with physicians, office staff and internal staff.
Serves as the subject matter expert for primary care practices on all Anthem Care Management programs for all lines of business and care management programs (i.e. CM, DM, Senior, Nurse Line).
Partners with case/disease management departments to facilitate clinical processes between the company and provider offices Serves as a liaison with state / region provider contracting account managers and other associates.
Job Qualifications
Requires a current unrestricted nursing license; a BA/BS; 5 years of care management experience (provider or health plan setting required); knowledge of managed care programs.
Ability to develop long term relationships, ability to consult with medical groups of all sizes and develop joint action plans.
Experience with giving group presenta! tion/training.
Strong business acumen, analytical and persuasion
WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2012 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers. EOE
Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).
- Current WellPoint associates: All referrals must be submitted through the formal
program can be found in My HR.
- WARNING: Please beware of phishing scams. Our company will never ask
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If you were eligible to this career, please email us your resume, with salary requirements and a resume to WellPoint.
If you interested on this career just click on the Apply button, you will be redirected to the official website
This career starts available on: Wed, 13 Mar 2013 12:16:06 GMT
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