Anthem, Inc. Payment Innovation Operations Director in Reston, 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.
Locations: Work at Home Opportunity; Virginia; and other locations will be considered (Prefer East Coast)
The Payment Innovation Operations Director role is responsible for supporting Payment Innovation value based program operations, including contract development and maintenance, process development and management, market support, communications, training, requirement development and user testing with a concentration in Medicaid value-based arrangements. Supports one or more operational components for one or multiple value based programs. Acts as a lead in organizing and directing operational work required to implement new Medicaid programs or enhancements to existing Medicaid programs.
Primary duties may include, but are not limited to: • Serves as an operational subject matter expert on one or multiple operational areas. • Performs operational vetting end to end to identify impacts for new programs as well as existing program changes. • Supports market contracting and resolves issues. • Develops and manages internal and external communications and associated legal and regulatory approvals. • Develops and manages contract material and schedule for value based program. • Writes business requirements adhering to Agile Development User Story Standards • Works with other business partners to guide and support solution development, pilot and solution launch activities. • Develops and maintains process documentation. • Manages small and large scale program implementation efforts. • Works on special projects.
Minimum Requirements: • Requires BA/BS in business or related field and a minimum of 3 years health insurance industry experience; and 5 years program/project management experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Qualifications: • MBA degree and PMP or Agile Development based certifications 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. 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 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. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact email@example.com for assistance.