Anthem Inc. Health Insurance Jobs

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Anthem, Inc. Director Continuous Value Improvement - Remote in Harrisburg, Pennsylvania

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high performance culture that empowers you to make an impact?

Director Continuous Value Improvement

Responsible for leading the development and implementation of ongoing continuous value improvement (CVI) including assessments, reports, training and recommendations for operational improvements for Care Management programs.

How you will make an impact:

  • Leads the delivery of excellence in business processes.

  • Creates and leads a CVI program based on solid performance management to drive efficiency and effectiveness across operations and clinical programs.

  • Monitors operational processes, productivity metrics and clinical outcome metrics.

  • Maintains ongoing updates to UM/CM/DM processes based on state and federal regulations, accreditation requirements and medical policies, and industry best practices.

  • Oversees SharePoint and WorkNet content and updates. Works with strategic team regarding improvement opportunities.

  • Develops and helps to implement operational or clinical improvement action steps when metrics are not meeting targeted quality goals.

  • Develops SVP operational dashboard. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

Minimum Requirements:

  • Requires a BA/BS in a related field.

  • Minimum of 5 years related progressive experience, including experience in process improvement.

  • Minimum of 4 years management experience; or any combination of education and experience, which would provide an equivalent background.

  • Six Sigma Certification required.

    Preferred Skills Capabilities and Experience:

  • Master's degree preferred.

  • Previous management of front line operations

    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 Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. 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 age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

    REQNUMBER: PS73804-US

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