Anthem, Inc. Provider Network Mgr Sr in Virginia Beach, 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.
LOCATION – REMOTE HYBRID* (EST/CST) *Will be required to go into your nearest Satellite Office 1-3 times month/quarter.
PROVIDER NETWORK MGR SR Develops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers at least 50% of the time. Complex providers may include, but are not limited to institutional providers, large medical groups and ancillary providers, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are often customized.
Primary duties may include, but are not limited to: - Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development. - May serve as lead over a contracting team engaged in less complex negotiations. - 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 more complex negotiations and drafts documents. - May prepare financial projections and conduct analysis.
Minimum Qualifications: - Requires a BA/BS degree and a minimum of 5 years experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. - Requires travel.
Preferred Qualifications: - Prior contract negotiation experience with Durable Medical Equipment or other ancillary specialty providers. - Prior experience with (healthcare/medical) commercial and government business.
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.