Provider Network Management Director
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 care companies and a Fortune Top 50 Company.Provider
Network Management DirectorWork
Locations – Western US/Central US/Eastern US (3 headcount to fill, positions
are eligible to work from home)Develops the
provider network through contract negotiations, relationship development, and
servicing for multiple provider types, dental providers, ancillary, hospitals
and physicians (not just one of these provider types). Primary focus of this
role is contracting and negotiating contract terms along with
servicing/educating providers. 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. 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 contracting
efforts or in highly specialized components of the contracting process and
serves as subject matter expert for that area for a business unit.
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 ancillary providers, and providers in areas
with significant competition.
Contracts involve non-standard arrangements that require a
high level of negotiation skills.
Fee schedules are typically customized.
Works independently and requires high level of judgment and
discretion.
May work on projects impacting the business unit requiring
collaboration with other key areas or serve on enterprise projects around
network management.
May collaborate with sales team in making presentations to
employer groups.
Serves as a communication link between professional providers
and the company.
Conducts the most complex negotiations.
Prepares financial projections and conducts analysis.
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. Requires limited travel.Anthem, Inc.
is ranked as one of America’s Most Admired Companies among health insurers by
Fortune magazine and has been named a 2019 Best Employers for Diversity by
Forbes. To learn more about our company and apply, please visit us at
careers.antheminc.com. An
Equal Opportunity Employer/Disability/Veteran.REQNUMBER: PS39270
Vacancy expired!