/ 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 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.
The Staff VP of Payment Innovation will be a part of our Provider Alignment leadership team. Our Provider Alignment team is developing and refining Anthem's innovative payment models aimed at reducing the cost of care while rewarding improvements in quality and access. Anthem's current portfolio of payment models includes the Enhanced Personal Care Program, engaging accountable care organizations and primary care practices across our commercial and Medicare lines of business; as well as episode-based bundled payments, designations of centers of excellence, and pay-for-performance initiatives for a broad range of providers.
Location Preference: Washington, DC but open to other Anthem locations.
Staff VP Payment Innovation
Staff VP Payment Innovation is responsible for designing and developing programs which advance the enterprise provider collaboration effort across Anthem's lines of business, including episode-based payment models; other payment models targeting specialist physicians; ancillary service sectors such as home health, dialysis, and durable medical equipment; outcomes- and value-based payment for pharmaceuticals; redesign of fee-for-service payments; and designation programs that recognize centers of excellence. In addition, the Staff VP oversees the interactions between these specialty payment programs and performance measurement, provider network and product strategies and consumer experience strategies. The Staff VP is also responsible for ensuring key operational capabilities as well overseeing local market implementations and execution.
Primary duties may include, but are not limited to:
Directing the design and execution of specialty payment models
Overseeing the development and management of enterprise standard provider collaboration contracts, developing employer value reporting, and aligning provider collaboration with consumerism through the development of strategies that enhance member experience.
Works cross-functionally with diverse teams to ensure operational impacts of payment innovation strategies are considered and executed effectively.
Identifies technical capabilities required to operationalize payment innovation programs.
Leads and manages analytics to support functions for specialty payment models.
Partners with local market Provider Engagement & Contracting and national and local sales leadership to ensure the smooth implementation and customer adoption of payment innovation programs.
Represent Anthem and its specialty payment models to providers, customers, and other external entities.
Contribute to strategic decision-making for Provider Alignment Solutions as a member of its leadership team.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
MBA, MHA, or similar degree; 10 years of management experience in healthcare operations, budgeting and forecasting, process improvement, technical development processes, planning and project management, and provider contracting; or any combination of education and experience, which would provide an equivalent background.
3 years of management experience highly preferred
Travel may be required.
/ 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. /
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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: Staff VP Payment Innovation - 134558
Other Locations: VA-Richmond, DC-Washington
Requisition ID: 134558
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