Anthem, Inc Provider Network Manager II - St. Louis, MO or IL Remote - PS15481 in St. Louis, Missouri
Provider Network Manager II - St. Louis, MO or IL Remote - PS15481
Location: St. Louis, Missouri, United States
Field: Provider Network Management
Requisition #: PS15481
Post Date: Jan 07, 2019
Your Talent. Our Vision. At HealthLink, Inc. , a proud member of the Anthem, Inc. family of companies, providing access to a broad network of quality health care partners and custom health care plans to reduce overall costs, 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.
Provider Network Manager II
Develops theHealthLinkprovider networkin Illinois and surrounding areasthrough contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with more complex providers at least 50% of the time. Complex providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. Contracts may involve non-standard arrangements that require a moderate level of negotiation skills. Fee schedules can be customized. Works with increased independence and requires increased use of judgment and discretion.
Primary duties may include, but are not limited to:
Serves as resource for lower-leveled consultants.
May work on cross-functional projects requiring collaboration with other key areas.
May collaborate with sales team in making presentations to employer groups.
Serves as a communication link between professional providers and the company.
Conducts more complex negotiations and drafts documents.
Assists in preparing financial projections and conducting analysis as required.
Position available in either Springfield, IL or St. Louis, MO.
Requires a BA/BS degree;
3-5 years experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.
Provider contracting experience is preferred.
Requires local travel with limited overnight travel.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.