Anthem, Inc. Healthcare Cost Outcomes Director in Nashville, Tennessee
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.
Healthcare Cost Outcomes Director is responsible for directing and coordinating the activities of revenue and medical cost analysis to accomplish financial objectives in the Health Plan.
Oversees of all aspects of cost of care analytics, and trend analysis and reporting for assigned health plan/division.
Responsible for reporting and delivery of key information to senior management to generate cost saving or revenue enhancement ideas and achievement of financial targets.
Primary duties may include, but are not limited to:
Manages the prioritization and development of reports for business reporting and analysis purposes including ad hoc analysis and cost of care projects.
Obtains resources to support business unit analytic needs.
Ensures accuracy and timeliness of output and deliverables for assigned areas or functions.
Communicates with customers about technical issues in non-technical terms.
Understands the business processes that the system supports.
Strong financial accountability.
Requires a BA/BS in Economics, Business Administration, Finance, or related field; 12+ years of experience in health care analytics, financial reporting, business analysis within health insurance/managed care environment, including 5+ years of leadership experience; or any combination of education and experience, which would provide an equivalent background.
Hospital contracting and understanding of Medicare fee schedules, highly preferred.
Experience in Excel and/or SQL is required
Experience in actuarial analysis
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.