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Anthem, Inc. Provider Collaboration Manager-Managed Care Contracting in New York City, New York

Description

SHIFT: Day Job

SCHEDULE: Full-time

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 care companies and a Fortune Top 50 Company.

Provider Collaboration Manager-Managed Care Contracting

Location: Remote opportunity-New York City, NY. Other Eastern locations may be considered.

The Provider Collaboration Manager is responsible for assisting with value-based contracting, meetings and relationships with Health systems/Providers. Receives a moderate level of guidance and direction in providing operational and administrative support for the implementation, auditing and resolution of loading issues for payment innovation programs .

Primary duties may include, but are not limited to:

  • Provides support with in-depth knowledge of Value based Managed Care provider agreements , including contracting terms and language components.

  • Leads and/oressentialteam member providing assistance with provider value-based contract negotiations.

  • Communicates with providers regarding specific value-based contracting language revisions to complete the agreements.

  • Ability to navigate financial

  • Obtains and analyzes financial performance and quality metrics.

  • Supports and facilitates value based JOCs (Joint Operating Committee meetings).

  • Develops and maintains contact database and disseminates communications to providers as necessary.

  • Aggregates and analyzes provider data form various sources to recommend and implement solutions to assist with provider collaboration activities.

  • Collaborates with provider contractors and network relations representatives to meet provider service needs.

  • Encourages providers to act on patient outreach opportunities.

  • Continues to build knowledge of the organization, processes and customers.

Qualifications

Minimum Qualifications:

Requires a BA/BS degree; 3 years’ experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background. Provider environment experience preferred.

Preferred Qualifications:

  • Provider experience

  • Managed Care value based contracting experience

  • Working knowledge of value-based care contracting and payment innovation initiatives

  • Knowledge of value-based verses fee-for-service contracts and contract language

  • Experience with Commercial and Government lines of business

  • Excellent organizational skills

  • MS Office proficiency

  • Project Management skills-end to end

  • PMP preferred

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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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: PS61698

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