13 Aug
Provider Network Mgt Dir (PS38190)
Virginia, Virginiabeach 00000 Virginiabeach USA

Vacancy expired!

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.Develops the provider network through contract negotiations, relationship development, and servicing for large health systems and includes multiple provider types, ancillary, hospitals and physicians (not just one of these provider types). Primary focus of this role is contracting and negotiating contract terms. Spends a minimum of 50% of the time either in a leadership role or that of subject matter expert and deals with only the most complex providers. Location: New York, New Jersey, Connecticut, Virginia, or Georgia (Remote)Primary duties may include, but are not limited to:

Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning.

Serves as a subject matter expert for local and regional Medicare provider contracting efforts, focusing on value based strategies.

Typically serves as lead contractor for large scale, multi-faceted negotiations.

Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact.

May assist management in network development planning.

May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring.

Works with the most complex providers such as institutional providers, large medical groups and IPAs, and providers in areas with significant competition.

Works independently and requires high level of judgment, critical thinking and discretion.

May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

Serves as a communication link between professional providers and the company.

Conducts the most complex negotiations.

Supports work related to financial projections and analysis.

Qualifications Requires a BA/BS degree; 8-10 years experience in contracting, provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Position will require travel as business needs arise.AnEqualOpportunityEmployer/Disability/VeteranAnthem, 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: PS38190-Virginia

Vacancy expired!


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