Anthem, Inc. Provider Collaboration Director in Harrisonburg, Virginia
SHIFT: Day Job
Your 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 Collaboration Director
Targeting East Coast locations but open to a remote arrangement pending background and experience
Responsible for local management of Enhanced Personal Health Care (EPHC), payment innovation, and collaborative programs across all lines of business. Primary duties may include, but are not limited to:
Provides provider support for successful value-based arrangements; leads committee meetings.
Drives medical and behavioral health integration initiatives.
Functions as the company's SME in payment innovation and collaboration programs.
Identifies payment innovation gaps and engages appropriate resources for solutions.
Analyzes financial performance quality metrics and reports to providers on the impact on performance.
Guides providers to move into more mature payment programs.
Conducts discussions with employer groups and health system executives.
Requires knowledge of regulatory requirements for line of business.
Requires a BA/BS degree; 8 years of experience in contracting (value-based, shared savings and Accountable Care Organization (ACO) development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
Experience using financial models and analysis to negotiate rates with providers is strongly 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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.