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Anthem, Inc. RVP I Provider Solutions (Texas) in Las Vegas, Nevada

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, 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.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.

RVP Provider Solutions – Medicaid and Medicare (Texas) Location: Houston, Austin, or Dallas preferred. Open to other Anthem/Amerigroup office locations.

This leader will be responsible for providing strategic leadership for provider engagement and contracting for the State of Texas with a benefit spend of approximately $3 billion, including local cost of care and trend management, provider contracting, implementation and local oversight of all types of payment innovation programs, and provider relations and education.

Primary duties of this role may include, but are not limited to:

  • Delivers competitive cost of care trends in Texas.

  • 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 States

  • Accountable for achieving the provider network Cost of Care targets in the state for both Medicare and Medicaid.

  • 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 Texas Medicaid plan.

Qualifications

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.

Must Have

  • Contracting and negotiating experience.

  • Medicaid and Medicare network contracting experience.

  • Familiarity with Texas provider market.

    Preferred

  • Texas managed care experience.

  • MBA

Applicable to Colorado Applicants Only

Annual Salary Range*: $183,598.40 - $229,498.00

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.

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: PS49641-Nevada

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