Provider Contracting / Payment Innovation Ops Director

Company: Anthem, Inc
Location: Bradenton
Posted on: May 3, 2021

Job Description:

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were 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.

Provider Contracting / Payment Innovation Ops Director (PS48884)

Location: Work from home office.

The Payment Innovation Ops Director is responsible for supporting Payment Innovation value-based program operations, including contract development and maintenance, process development and management, market support, communications, training, requirement development and user testing. Supports one or more operational components for one or multiple value-based programs. Acts as a lead in organizing and directing operational work required to implement new programs or enhancements to existing programs. Primary duties may include, but are not limited to:

• Serves as an operational subject matter expert on one or multiple operational areas.

• Performs operational vetting end to end to identify impacts for new programs as well as existing program changes.

• Supports market contracting and resolves issues.

• Develops and manages internal and external communications and associated legal and regulatory approvals.

• Develops and manages contract material and schedule for value based program.

• Writes business requirements.

• Works with other business partners to guide and support solution development, pilot and solution launch activities.

• Develops and maintains process documentation.

• Manages small and large scale program implementation efforts.

• Works on special projects.

Qualifications

Requires:

• BA/BS in business or related field; and 3 years health insurance industry experience; and 5 years program/project management experience; or any combination of education and experience, which would provide an equivalent background.

• Must have experience with Provider Contracting with managed care or provider organization.

• Knowledge of Aprimo and CMAP a plus.

• Value-based contracting a plus.

• Advanced proficiency using MS Word.

• MBA preferred.

• PMP certification preferred.

  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. An Equal Opportunity Employer/Disability/Veteran.

  Anthem, Inc. is ranked as one of Americas 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.

  REQNUMBER: PS48884-Florida

Keywords: Anthem, Inc, Bradenton , Provider Contracting / Payment Innovation Ops Director, Other , Bradenton, Florida