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?
Assists in various aspects of the health care delivery process, including contracting management, reimbursement modeling and relationship management for physicians, providers, facilities, and vendors (primarily in Western PA). Primary duties may include, but are not limited to:
Ensures that the health care management's strategic initiative are communicated to the accounts and they meet the account's needs in terms of access, cost, quality, network performance, and service.
Ensures that specific divisional targets for cost of care and provider satisfaction within the scope of the assigned program are achieved.
Oversees provider credentialing, re-credentialing, and conducts zoom/field visits
Oversees PROMISe enrollment and Supplemental Services enrollment process
Works with providers to ensure provide compliance to HealthChoices standards and requirements
Reviews material and announcements to be sent out for accuracy and completeness
Conducts training for internal and external customers
Coordinates plans and activities with Manager and Counties
Coordinates Requests for Proposals (RFP) with clients
Qualifications
Minimum Requirements
Preferred Requirements
Experience using Zoom (or other online conference tools) for the purposes of conducting meetings and presentations strongly preferred, as is experience using Outlook, Excel, Word and other MS Office tools.
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 If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to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: PS71898-US
