Anthem Inc. Health Insurance Jobs

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Anthem, Inc. Network Relations Consult Mgr in Melville, New York

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Location: New York: New York City. Can be REMOTE. Must live within 60 miles or 1 hour of Beacon co-located office.

Work Hours: Mon – Friday; 8:00 AM – 5:00 PM

The Network Relations Consult Mgr. is responsible for supporting the day-to-day overseeing of the Network Relations Consultants.

What does a typical day look like?

Primary duties may include, but are not limited to:

  • As a knowledge and resource expert, handles escalated provider issues impacting provider satisfaction, researches and resolves the most complex provider issues and appeals for prompt resolution. Identifies deficiencies and recommends corrective actions.

  • Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery.

  • Ensures Network Relations Consultants are meeting provider visit requirements. Attends provider meetings as needed.

  • Monitors department metrics, provider assignments.

  • Oversees daily activities and provides feedback to manager on performance management, day-to-day training, guidance, and workflow. Leads and facilitates team meetings.

  • Serves as subject matter expert who may be assigned major projects within the department.

Qualifications

What You Contribute:

  • Requires a BA/BS in a related field;

  • 7 years of network relations and leadership experience; or any combination of education and experience, which would provide an equivalent background.

  • Experience of Network Relations outreach strategies strongly preferred

  • Knowledge on how to build key relationships and educate to gain new potential enrollment opportunities

  • Experience in leading and coaching a team of Network Consultants

    What We Have to Offer:

    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.

    Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

    REQNUMBER: PS44748-New%20York

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