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Anthem, Inc. Provider Collaboration Manager or Provider Collaboration Manager Senior (Job Family) in Columbus, Ohio

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.

This position can be filled at Provider Collaboration Manager or Provider Collaboration Manager Senior level. The hiring manager will determine the level, based on the candidate’s experience, and background.

Provider Collaboration Manager Senior

Responsible for value-based contracting and program support, provider relationship development/management, and providing operational support for the implementation, auditing, and resolution of loading issues for payment innovation programs. This position supports all lines of business including Commercial, Medicare Advantage, and Medicaid value-based products.

Primary duties may include, but are not limited to:

  • Provides support for assigned provider contracts.

  • Manages and oversees the value based program operational and provider support processes.

  • Obtains and analyzes financial performance quality metrics and reports to providers on the impact to performance.

  • 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 from various sources to recommend and implement solutions to assist with provider collaboration activities.

  • Collaborates with provider contractors and network relations reps, Care Delivery Transformation team, and Quality Management team to support practice transformation.

  • Encourages providers to act on patient outreach opportunities.

Provider Collaboration Manager

Responsible for value-based contracting and program support, provider relationship development/management, and providing operational support for the implementation, auditing, and resolution of loading issues for payment innovation programs. This position supports all lines of business including Commercial, Medicare Advantage, and Medicaid value-based products.

Primary duties may include, but are not limited to:

  • Provides support for assigned provider contracts.

  • Manages and oversees the value based program operational and provider support processes.

  • Obtains and analyzes financial performance and quality metrics and reports to provider the impact on performance.

  • 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 reps, Care Delivery Transformation team, and Quality Management team to support practice transformation.

  • Encourages providers to act on patient outreach opportunities.

  • Continues to build knowledge of the organization, processes and customers. Performs a range of mainly straightforward assignments.

Qualifications

Provider Collaboration Manager Senior

Minimum Requirements:

  • Requires a BA/BS degree a minimum of 5 years’ experience in database maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Strongly prefer experience in provider network relations and/or contracting, value-based contracting, payer relations, practice management, project management, data analytics related to health care; or any combination of education and experience, which would provide an equivalent background.

  • Ability to function in a fast-paced, highly matrixed environment.

  • Strong organizational skills and ability to effectively work independently while also being a team player.

  • Provider practice, Medicare, Medicaid experience preferred.

Provider Collaboration Manager

Minimum Requirements:

  • Requires a BA/BS degree and a minimum of 3 years’ experience in database maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

  • Strongly prefer experience in provider network relations and/or contracting, value-based contracting, payer relations, practice management, project management, data analytics related to health care; or any combination of education and experience, which would provide an equivalent background.

  • Ability to function in a fast-paced, highly matrixed environment.

  • Strong organizational skills and ability to effectively work independently while also being a team player.

  • Provider practice, Medicare, Medicaid experience 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.

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 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. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS63967-2528-Columbus

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