Anthem Dir Network Management PS9820 in Pico Rivera, California
Dir Network Management PS9820
Location: Woodland Hills, California, United States
Field: Provider Network Management
Requisition #: PS9280
Post Date: Jul 10, 2018
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 benefits companies and a Fortune Top 50 Company.
This position will be based in CA could be at a local Anthem office or Work at home.
Responsible for network development and provider reimbursement for Medicare regional Health Services Area.
Primary duties may include, but are not limited to:
Oversees Medicare contracting and maintenance of all facilities including hospitals, surgery centers, etc. Oversees the development, maintenance and reconciliation of physician risk contracts and capitated arrangement. Attracts, develops and manages key contracting and servicing staff. Develops innovative ways to maintain a cost effective network with adequate access and positive working relationships with providers. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Requires a BS/BA degree in business administration or related healthcare field; 8-10 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background. CPA or MBA preferred.
Requires a BS/BA degree in business administration or related healthcare field; 8-10 years healthcare operations, finance, underwriting, actuary, network development and sales experience; Complex Medicare Contracting experience preferred or any combination of education and experience, which would provide an equivalent background. CPA or MBA preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.