Anthem, Inc. Manager, Business Information in Upland, California
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 benefits companies and a Fortune Top 50 Company.
Title: Manager, Business Information
Work location: California - Walnut Creek or Woodland Hills
This position will start at work at home but will be office based once offices re-open.
The Manager, Business Information is responsible for managing a team of associates who analyze medical cost and utilization data. The team supports Anthem’s California commercial HMO products with the primary objective of identifying opportunities for contracted capitated providers to improve cost and utilization performance.
The manager must be able to collaborate with all internal stakeholders involved in managing capitated provider performance within the market. Employs high-level critical thinking skills, superior interpersonal communications skills, as well as a record of generating insights that support improving provider performance.
Primary duties may include, but are not limited to:
Hires, train, coach, counsel, and evaluate performance of direct reports.
Lead team analysis of cost and utilization performance of capitated medical groups; identify areas of potential improvement.
Designs and oversee the development of reporting and data visualization methods as required to communicate provider performance.
Partner with provider network and clinical teams to identify anomalies in performance and develop remediation plans.
Assure quality and integrity of data collected, analysis performed, and reports generated.
Develop methods for improving internal techniques and processes.
Maintain awareness of market and industry trends.
Requires BA/BS and 5-7 years related experience; or any combination of education and experience, which would provide an equivalent background.
Previous experience as a supervisor of direct reports.
Experience in managed care, the healthcare delivery system, provider networks, and associated data analysis approaches required.
Excellent analytical, organizational, planning, oral and written communication skills required.
Ability to present information internally and externally in a virtual setting.
Preferred Skills and Experience:
Managed Care experience with emphasis on capitated provider performance
Familiarity with contracting models, provider reimbursement strategies and renewal modeling
Demonstrates effective situational leadership, quick and continuous learning style and high impact communication skills
Communicates effectively with all levels in the organization including executives and Medical Directors
Displays excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills
Influences and collaborates across functional lines with variety of matrix partners and levels
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.