17 Sep
Provider Network Management Director
California, Whittier 00000 Whittier 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 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!


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