Provider Network Management Director - Remote - 136997
Location:
Chicago , Illinois
Posted:
November 16, 2017
Reference:
1252453137
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 benefits companies and a Fortune Top 50 Company.

Provider Network Management Director - Remote - 136997

This position is part of the company's Work at Home Program (Remote).

Develops the provider network through contract negotiations, relationship development, and servicing for large health systems and includes multiple provider types, ancillary, hospitals and physicians (not just one of these provider types). 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 leadership team in presenting organization at conferences.
• Conducts the most complex negotiations.
• Assists in conducting gap analysis as required.

This position is part of the company's Work at Home Program (Remote).

• Requires a BA/BS degree; 8-10 years experience in contracting, provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
• Intermediate level of Microsoft Office including Outlook, Word and Excel required.
• Experience with specialty products including LTSS, BH and IDD preferred.
• Experience working in a hospital or healthcare company performing managed care contracting strongly preferred.
• Demonstrated concepts of project management.
• Strong strategic thinking and analytical skills; excellent organizational, presentation, and problem solving skills.
• Seeks out opportunities for process improvements/efficiencies, and supports business initiatives.
• Requires travel (25%.)

/Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./

Job Provider Network Management

Equal Employment Opportunity Statement
Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: Provider Network Management Director - Remote - 136997

Location: illinois-Chicago

Requisition ID: 136997

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