Anthem, Inc. Cost of Care Director in Westchester, Illinois
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.
Cost of Care Director
Leads and manages multiple cost of care initiatives including the most complex initiatives enterprise-wide (e.g. local, within each state, across business segments and at the enterprise level) and drives their execution. Understands, predicts, and implements measures to control healthcare costs and to make healthcare more affordable for our customers. Develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company’s market competitiveness. Primary duties may include, but are not limited to: Identifies and develops best practices and cost of care improvement processes around utilization management and clinical strategies, new products, annual benefit design participation, and financial operations. Oversees the identification of potential cost of care savings opportunities through complex analytics via partnering with the analytic teams, developing action plans, benefits, and risk assessments, and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification. Champions cost of care initiatives negotiates for human capital resources, and partners with care management, claims, IT, and business partners. Manages and presents the cost of care projects to senior leadership including State Plan Presidents. Serves on local and enterprise committees. Plans leads and oversees cost of care planning, as well as develops and maintains executive-level reporting dashboards.
BS/BA degree; Financial, Business, and Leadership acumen
At least 9 years’ relevant experience in Health Care; or any combination of education and experience, which would provide an equivalent background.
MBA, MHA, MA
PMP or Six Sigma Green Belt
Prior experience with provider network contracting, provider networks, claims, finance, and operations
Finance/ Cost of Care clinical operations background
Demonstrated experience presenting and collaborating with key executives
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.