Anthem, Inc. Provider Collaboration Mgr in Greenville, North Carolina
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.
Responsible for providing support to providers to improve the effectiveness and efficiencies of provider practices. Up to 10% travel within North Carolina region.
Primary duties may include, but are not limited to:
Provides support for assigned provider contracts.
Obtains and analyzes quality metrics and reports for care opportunities, supports practice implementation of care coordination and care management, identifies action plans for providers to implement to improve cost, quality and the patient experience and participates in design, development, and implementation of community learning forums.
Collaborates with all Advanced Medical Home (AMH) teams including but not limited to: provider collaboration manager, provider clinical liaison, provider contracting and network relations consultants to meet provider and practice service needs.
Actively participates in developing AMH program recommendations and action plans.
Supports the efforts of providers and practice teams related to care delivery interventions resulting in growth towards AMH Tier 3 attestation and ultimately cost of care savings.
Promotes practice transformation towards meeting the goals specified by NC-DHHS.
Provides education for practices in tandem with clinical and quality staff to develop metric, data, and quality improvement.
May participate in various community and multi-department committees to assure effective AMH program implementation as specified by NC-DHHS.
Tracks progress of program and prepares status reports to management or senior management.
Maintains up to date knowledge on AMH, Care Delivery System Redesign and Accountable Care Organizations.
Requires a BA/BS degree and a minimum of 3 years’ experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.
Provider environment experience strongly preferred.
- Public health, Medicaid/Medicare, public policy, physician environment experience in practice transformation/quality improvement, ambulatory care setting quality and efficiency metrics, and electronic health records 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.
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 firstname.lastname@example.org for assistance.