Anthem, Inc. Payment Innovation Ops Dir in Maitland, Florida
SHIFT: Day Job
Responsible for supporting Payment Innovation value-based program operations, including contract development and maintenance, process development and management, market support, communications, training, requirement development and user testing. Supports one or more operational components for one or multiple value-based programs with a concentration in ensuring compliance with provider contractual obligations. Acts as a lead in organizing and directing operational work required to implement new programs or enhancements to existing programs.
Primary duties may include, but are not limited to:
Develop, collect, and maintain survey and central database of provider contract obligations around transparency, steerage and related topics for all lines of business in all markets .
Serves as an operational subject matter expert on one or multiple operational areas.
Performs operational vetting end to end to identify impacts for new programs as well as existing program changes.
Supports market contracting and resolves issues.
Develops and manages internal and external communications and associated legal and regulatory approvals.
Develops and manages contract material and schedule for value-based program.
Writes business requirements.
Works with other business partners to guide and support solution development, pilot and solution launch activities.
Develops and maintains process documentation.
Manages small- and large-scale program implementation efforts.
Works on special projects.
BA/BS in business or related field; and 3 years health insurance industry experience; and 5 years program/project management experience; or any combination of education and experience, which would provide an equivalent background.
MBA preferred. PMP certification 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.