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Anthem, Inc. Director II Implementation - CareMore in Whittier, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. CareMore Health and Aspire are entering a new growth phase, as a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve over 100,000 members in 30 states across Medicare, Medicaid, and commercial populations. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading healthcare organizations and a Fortune Top 50 Company.

Sign On Bonus: $1,000

Location: US, Work at home

The Director II Implementation is responsible for directing a multi-discipline, multi-state team in the National Accounts Business Unit managing the implementation process for both new and renewal accounts, to include new case installation, liaison responsibilities between Account Management Team, Sales Team, Sales Support, and Clients.

Primary duties may include, but are not limited to:

  • Oversees the timely and accurate implementation of new health plan clients to include account set-up, administration, membership and billing.

  • Directs the development and execution of management control processes for health plan clients and implementation plans to ensure group needs are determined and contractual obligations are attained or exceeded.

  • Ensures all critical deliverables from multiple work streams within the company are met timely and accurately according to our health plan clients selected benefit plans and performance guarantees.

  • May participate in the Sales and Account Management Team at account meetings and Sales Finalist Presentations in the effort of securing business growth for the company.

  • Directs analysis of system capabilities and production support.

  • Establishes and executes best practices and controls to ensure optimal performance on all procedures, files, and interfaces.

  • Coordinates communication to all functions, customers, vendors and consultants.

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

Minimum Requirements:

  • Requires BA/BS degree in a related field and a minimum of 7 years of experience in health insurance service operations, particularly in enrollment and billing, account implementations or account management experience working with implementations; or any combination of education and experience which would provide an equivalent background.

    Preferred Qualifications:

  • MBA or PMP certification preferred.

    Applicable to Colorado and Connecticut Applicants Only

    Annual Salary Range*: $118,160 - $147,700

    Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

    • The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

    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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

    REQNUMBER: PS64994-US

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