Provider Network Manager I -Remote 137065
Location:
Buffalo , New York
Posted:
November 16, 2017
Reference:
901892413
Your Talent. Our Vision. AtAnthem, 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 willdrive 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 Manager I - Remote - 137065

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

The Provider Network Manager I 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 less complex providers which may include, but are not limited to, professional providers, medical groups, providers in less competitive markets, and providers with greater familiarity with managed care concepts.
• Contracts tend to be more standard and afford less opportunity for customization.
• Fee schedules are fairly standardized with reimbursement models limited and well-defined.
• May participate in intradepartmental projects or smaller projects impacting multiple departments.
• Operates with general supervision, elevating unusual situations to management as required.

Primary duties may include, but are not limited to:
• May work on cross-functional projects requiring collaboration with other key areas
• Serves as a communication link between professional providers and the company.
• Conducts and drafts documents.
• 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; 2 years experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.
• Must have at least 2 years of prior Healthcare contracting experience.
• Intermediate level of Microsoft Office including Outlook, Word and Excel required.
• Experience with specialty products including LTSS, BH and IDD preferred.
• Requires travel (up to 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 Manager I -Remote 137065

Location: new york-Buffalo

Requisition ID: 137065

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