Anthem, Inc. RVP I Provider Solutions (Colorado) in Denver, Colorado
SHIFT: Day Job
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.
RVP Provider Solutions (Colorado) Location: Denver, CO or within commuting distance to Denver.
Role This leader will be responsible for providing strategic leadership for provider contracting throughout the State of Colorado with a benefit spend of approximately $4 billion in commercial, Medicare and Medicaid products, including local cost of care and trend management, provider contracting, implementation and local oversight of all types of payment innovation programs, and strategic provider relationships. Primary duties of this role may include, but are not limited to:
Delivers competitive cost of care trends in Colorado.
Develops provider networks that provide a competitive advantage.
Aligns contracting strategy with medical management strategy.
Integrates quality metrics and incentives into contracting process.
Serves as Provider Solutions local single point of accountability for all product lines.
Accountable for achieving both state and enterprise Value Based Care targets for all products.
Accountable for achieving the provider network Cost of Care targets in the state for Commercial, Medicaid (Behavioral Health only), and Medicare lines of business.
Ensures compliance with regulatory and accreditation standards.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
The successful candidate will possess strong leadership skills and will be effective in establishing a collaborative relationship with the Commercial, Medicaid, and Medicare plans.
This position requires a BS/BA in business administration or related healthcare field; 8+ years of experience in healthcare operations, finance, underwriting, actuary, network development and/or sales; or any combination of education and experience, which would provide an equivalent background. Network contracting experience in commercial/employer group and Medicare required.
Proven and demonstrated network contracting and negotiating skills and experience.
Medicaid network contracting experience.
Familiarity with Colorado provider market.
Experience in network strategy and design.
Excellent people leadership and relationship skills.
Applicable to Colorado Applicants Only
Annual Salary Range*: $192,778.32- $240,972.9
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.
The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.