Oncology Practice Enablement Clinician Sr. - Quality, Value Based Care, and Practice Transformation

Job description

Anticipated End Date: 2026-08-07 Position Title: Oncology Practice Enablement Clinician Sr. - Quality, Value Based Care, and Practice Tranformation Job Description: Oncology Practice Enablement Clinician Senior Carelon Schedule: Monday- Friday 8-5 Field: This field-based role enables associates to primarily operate in the field, traveling to client sites or designated locations as their role requires, with occasional office attendance for meetings or training. This approach ensures flexibility, responsiveness to client needs, and direct, hands-on engagement. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law. Carelon, a proud member of the Elevance Health family of companies, is a healthcare services organization that takes a whole-health approach to making care more integrated, personalized, and affordable. We put people at the center—connecting physical, behavioral, social, and pharmacy services, along with clinical expertise, research, operations, and advanced technology to help care work better, together. Among us are specialty-care physicians, nurse practitioners, pharmacists, engineers, data scientists, and other dedicated and caring health professionals. While our roles may differ, our purpose is shared: to make a positive impact on whole health. The Oncology Practice Enablement Clinician Senior will be responsible and accountable for partnering and building critical relationships with larger complex oncology practices 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. The OPEC Sr. translates performance reporting and analytics (including the Carelon Provider Dashboard) into scalable tools, guidance, and practice transformation approaches, while also contributing to solution strategy, provider engagement design, and leading the majority (but not all) of the team’s project-based work. How you will make an impact: Serve as clinical subject matter expert (SME) for operational team members, while mentoring team members. Serve in a leadership capacity by leading special projects/initiatives; support leadership as SMEs on strategic initiatives based on clinical expertise. 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. 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. Assess practice workflows and facilitate recurring meetings to drive progress on quality measures and cost-of-care performance; translate insights into practical, practice-ready actions. Conducts “deep dives” into specific quality measure and hosts review meetings as needed with practice. Oversee data analysis to identify positive and/or negative trends in quality data. 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 Carelon solutions to improve quality and cost of care. Participate in identifying new solutions; collect and synthesize feedback from OPECs to identify practice trends, improve existing solutions, and inform new solution design. Maintain understanding of oncology and palliative care clinical domain and industry changes. Schedule/host educational sessions for the Provider Enablement team; seek out continuing education opportunities and oncology subspecialty resources to build internal capability. Partners with key departments such as Carelon MBM, Carelon Palliative, Carelon Rx/Pharmacy, Network, Provider Solutions, Payment Innovation, Claims, etc. Partner with Carelon 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. Support and mentor fellow clinicians. Works with leadership to identify and implement new solutions. Collects feedback from OPECs to identify practice trends to drive improvement of existing solutions or identify new solutions. Support leadership as SMEs in special projects/initiatives based on clinical expertise. Minimum Requirements: Requires BA/BS in Nursing, Pharmacy or Pharm D. or MS in Social Work and a minimum of 7 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, RPh, MSW, LCSW ) 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. 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. Preferred Skills, Capabilities and Experiences: Experience in oncology preferred. Oncology practice leadership preferred. Experience leading Value Based Care initiatives preferred. For candidates working in person or virtually in the below location(s), the salary* range for this specific position is $112,880 to $203,184 Locations: California; Colorado; Illinois; New York; Virginia; 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, paid time off, stock, 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. Job Level: Non-Management Exempt Workshift: Job Family: MED > Licensed Nurse 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. 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-19 and Influenza. 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, sexual 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 should submit the following form: Accessibility Accommodation Request Form and a member of the team will be in contact. Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act. Prospective employees required to be screened under Florida law should review the education and awareness resources at HB531 | Florida Agency for Health Care Administration . NOTE: Workday keeps job postings active through 11:59:59 PM on the day before the listed end date. Example: If the end date is 3/13, the posting will automatically come down on 3/12 at 11:59:59 PM. In other words — the job is posted until 3/13, not through 3/13.