Anthem Inc. Medical Jobs

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Anthem, Inc. Provider Network Mgr Sr- National Physician Contracting in Denison, Texas

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

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.

This role will allow remote work as optional

Develops the national physician network through contract negotiations, relationship development, and servicing.

Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers at least 50% of the time. Complex providers include, but are not limited to national medical groups with more complex contracts. Contracts may involve non-standard arrangements that require a high level of negotiation skills. Fee schedules can be customized. Works with increased independance and required increased use of judgement and discretion.

Primary duties may include, but are not limited to:

Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.

May serve as lead over a contracting team engaged in less complex negotiations.

Works independently and requires high level of judgment and discretion.

May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

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.

May prepare financial projections and conduct analysis.

Will have responsiblity of implentation of contracts.

Qualifications

Requires a BA/BS degree

5-7 years experience in physician contracting, provider relations, provider servicing; experience should include prior contracting experience

Multi-state contract implimentation will require some PM skills

Or any combination of education and experience, which would provide an equivalent background.

Must have exceptional oral and written communication skills

Must have strong analytical skills

Must demonstrate leadership skills

Requires some travel

This is not a people leader Mgr role but will operate as an individual contributor without direct reports.

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. 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.

REQNUMBER: PS45114-Texas

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