Anthem Blue Cross and Blue Shield is a proud member of the WellPoint family of companies. At Anthem, we are working together to transform health care with trusted and caring solutions. Bring your expertise to our innovative culture where you will have the opportunity to make a difference in people’s lives, and to take your career further than you can imagine. Location: This is a full-time, telecommuting opportunity for California residents only. Responsible for Accountable Care Organization (ACO) program implementation focusing on partnering and building relationships with providers and their office staff to support providers & ACO care teams engagement in care management transformation. Primary duties may include, but are not limited to: • Meet with medical groups, providers and PCP care team to discuss ACO Care management transformation and support those providers that would benefit most from care planning/care coordination activities. • Serves as the clinical point of contact for the ACO care team by facilitating bi-directional communication with our internal care management teams for the management of high risk members • Trains providers on care management tools to promote adoption of the program within the ACO groups • Conducts clinical touch-point meetings with ACO care teams • Serves as the subject matter expert on all Anthem Care Management programs for all lines of business and care management programs (i.e. Case Management, Disease Management) Collaborates with case/disease management departments to facilitate clinical processes between WellPoint and provider organizations. Serves as a liaison with state / region provider contracting account managers and other internal and external customers. WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, and is a 2013 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at www.wellpoint.com/careers. EOE. M/F/Disability/Veteran.
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