Description
SHIFT: Day Job
SCHEDULE: Full-time
Be part of an extraordinary team
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Responsible for value-based contracting and program support, provider relationship development/management, and providing operational support for the implementation, auditing, and resolution of loading issues for payment innovation programs. This position supports all lines of business including Commercial, Medicare Advantage, and Medicaid value-based products.
Primary duties may include, but are not limited to:
Provides support for assigned provider contracts.
Manages and oversees the value based program operational and provider support processes.
Obtains and analyzes financial performance quality metrics and reports to providers on the impact to performance.
Supports and facilitates value based JOCs (Joint Operating Committee meetings).
Develops and maintains contact database and disseminates communications to providers as necessary.
Aggregates and analyzes provider data from various sources to recommend and implement solutions to assist with provider collaboration activities.
Collaborates with provider contractors and network relations reps, Care Delivery Transformation team, and Quality Management team to support practice transformation.
Encourages providers to act on patient outreach opportunities.
Qualifications
Minimum Requirements:
Preferred Qualifications:
Strongly prefer experience in provider network relations and/or contracting, value-based contracting, payer relations, practice management, project management, data analytics related to health care; or any combination of education and experience, which would provide an equivalent background.
Ability to function in a fast-paced, highly matrixed environment.
Strong organizational skills and ability to effectively work independently while also being a team player.
Provider practice, Medicare, Medicaid experience preferred.
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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem 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 may contact ability@icareerhelp.com for assistance.
REQNUMBER: PS71200-US
