Anthem, Inc Director Provider Relations and Customer Service, Cerritos, PS16602 in Cerritos, California

Director Provider Relations and Customer Service, Cerritos, PS16602

Location: Cerritos, California, United States

Field: Provider Network Management

Requisition #: PS16602

Post Date: Jan 09, 2019

Your Talent. Our Vision. At CareMore , a proud member of the Anthem, Inc. family of companies specializing in providing patients a complete and pro-active health care experience, 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 .

Director CareMore Network Operations:

Responsible for supporting the provider network and market initiatives.

Primary duties may include, but are not limited to:

  • Deploys effective provider communication plans.

  • Oversees Provider Relations functions, including customer service support.

  • Oversees Provider customer service team.

  • Oversees the development and effectiveness of the Provider Portal.

  • Ensures markets meet network adequacy and other regulatory requirements.

  • Oversees practitioner management team.

  • Responsible for onboarding and credentialing of employed clinicians.

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

  • Requires a BA/BS; 10 years of experience in managed care or health care field, including a strong understanding of network operations, contracting methodologies, negotiation strategies, Provider Relations, and managed care and Medicare Advantage plans and regulations; or any combination of education and experience, which would provide an equivalent background.

  • MBA preferred.

  • Project Management or Process Improvement Certification preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.