Description
SHIFT: Day Job
SCHEDULE: Full-time
Location: Remote
Specialty: Genetics or Pathology
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?
Build the Possibilities. Make an extraordinary impact.
Responsible for serving as a Medical Director of the National Accounts business unit, leading the strategic implementation of improving the health of the people we serve, influencing product strategy and design and medical management approaches that impact health care quality, cost, and outcomes, and improving access to and usefulness of health improvement tools offered to National Account members.
How you will make an impact:
Monitors competitor products and internal medical management capabilities and responds with recommendations for improvement in company models.
Contributes to development of Medical Management and Quality Management strategies.
Responsible for consistent adoption and implementation of all medical policies.
Provides clinical leadership for Utilization Management, Case Management, Disease Management, and Quality Management of National Accounts in cooperation with Regional Health Care Management (HCM) team and Chief Medical Officer.
Provides clinical expertise in sales planning and participates in the acquisition and retention of National Accounts.
Collaborates with HCM leaders to refine and improve provider and medical management services to meet the needs of National Accounts.
Assures the clinical relevance of account reporting regarding use of medical services by National Accounts members.
Communicates medical management trends and recommends company medical management responses to National Accounts.
Contributes to efforts to establish effective physician and hospital quality and cost profiling and education.
Contributes to improved provider relationships and national associations and societies (i.e., AMA, Coalition of Specialty Societies).
Represents company at nationally recognized speaking engagements to promote health programs.
Qualifications
Requires an MD and minimum of 12 years of healthcare experience; or any combination of education and experience, which would provide an equivalent background.
Requires current unrestricted medical licensure in applicable state(s).
Board certification required if applicable to the duties being performed.
Requires experience with population or segment health management and the education and coaching of members on wellness, prevention, and healthy lifestyles.
Preferred Criteria:
Knowledge of leading competitive product offerings in the healthcare industry and marketplace standards and knowledge of National Accounts expectations strongly preferred.
Extensive managed care knowledge strongly preferred.
Comfortable presenting information to external customers.
Board Certified in Pathology, Genetics, or Genomics.
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: PS71886-US
