Anthem Inc. Virginia Jobs

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Anthem, Inc. Provider Network Mgt Director in Norfolk, Virginia

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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 benefits companies and a Fortune Top 50 Company.

Title: Provider Network Mgmt Director

Location(s): California, Indiana, Georgia, New York, Virginia (will consider other Anthem locations)

Status: Full-time, Salary, Bonus Potential

The Provider Network Mgmt Director develops the provider network through contract negotiations and relationship development focused on Reference Laboratories and other Ancillary providers. Primary focus of this role is contracting and negotiating contract terms. 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.

Qualifications

  • BA/BS degree

  • 8-10 years’ experience in contracting, provider relations, provider servicing; experience must include prior contracting experience

  • Reference Laboratory Provider contracting experience preferred and/or other Ancillary contracting experience

  • Or any combination of education and experience, which would provide an equivalent background

  • Proficiency with Microsoft Excel and Proficiency with MS Office Suite

  • Requires travel (post Covid)

    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.

    REQNUMBER: PS51405-Virginia

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