Medicaid Health Promotion Consultant - Nashville / Middle TN Area (122979)
Location:
Nashville , Tennessee
Posted:
November 09, 2016
Reference:
1126292281
/ Your Talent. Our Vision. / At Anthem, Inc., it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive 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.

Location: This position is a Work-At-Home Opportunity. Must reside in the Nashville area for close proximity to assigned territory.

TheHealth Promotion Consultant (Medicaid)is r esponsible for ensuring contract compliance with Tennessee state mandated cultural and linguistic, health education requirements, or other programs required by contracts. This role works directly with contracted providers/physicians to increase Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) screening rates and other HEDIS measures by utilizing the clinic day process tool to establish clinic day screening events. Primary duties may include, but are not limited to:

Assists with the State/Region/Local Needs Assessment document and identifies/develops resources to meet health education needs.
Review HEDIS metrics, clinic day screening outcomes and provide outreach support.
Defines the marketing environment through development of key stakeholder criteria, identification of desirable community partners, availability of local programs and opportunities for marketing programs and services.
Provides/promotes provider training to assure compliance with government mandated health education programs and the health education referral system.
Establishes positive relationships with community based organizations and other key partners to gain understanding of the cultural and linguistic needs of members.
Recommends health education programs based on analysis of State/Regional/Local health statistics, disease prevalence, census data, and health care service usage.
Maps community based assets and collaborates with key stakeholders to leverage available resources for development of new and accessibility to existing health education/promotion programs.
Develops and implements strategies that promote local health education resources and address identified member health education needs.
Works directly with contracted providers/physicians to increase Early and Periodic Screening, Diagnostic, and Treatment (EPSDT) screening rates and other HEDIS measures by utilizing the clinic day process tool to establish clinic day screening events.
Review HEDIS metrics, clinic day screening outcomes and provide outreach support.

Requires:

BA; 2 years of experience; or any combination of education and experience, which would provide an equivalent background.
Certified Health Education Specialist (CHES) a plus.
Knowledge of HEDIS metrics, and SalesForce preferred.
Day travel 75% of the time.
Some holidays and weekends required.

/Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers./

/EOE. M/F/Disability/Veteran./

Job Medical

Title: Medicaid Health Promotion Consultant - Nashville / Middle TN Area (122979)

Location: TN-Nashville

Requisition ID: 122979

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