Anthem, Inc. Program Director in Midland, Georgia
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 benefits companies and a Fortune Top 50 Company.
NOTE: This position is work from home with the applicant's physical location being within a reasonable commute Anthem office.
Operations Program Director, Healthy Blue Louisiana Medicaid
The Program Director is responsible for the development and ongoing management of one or more external Medicaid provider and Department of Health facing programs that are multi-function, and multi-year in scope. Program directors typically support business strategies through an integrated portfolio of external client facing programs, projects, and initiatives.
Primary duties may include, but are not limited to:
Directs the development, planning, prioritization, approval, implementation, and compliance of on-going external client facing programs.
Establishes program governance when needed to assure response to issue escalation; develops program budget and ensures program meets its stated objectives.
Provides subject matter expertise in response to day to day business issues; researches applicable subject matter practices; and remains aware of industry trends.
Manages external client facing relationships and partners with corporate and regional business areas.
Develops communication documents and training criteria related to external client facing program success measures.
Develops documentation to support meeting presentations and the tracking and reporting of the program’s success.
Provides leadership to operations managers and staff.
Reports to Healthy Blue’s Medicaid COO. Program directors typically manage external client facing programs that require managing activities and resources of multiple departments or business areas of the organization.
Program directors typically support business strategies through an integrated portfolio of external client facing programs, projects and initiatives.
Requires a BA/BS and minimum of 10 years experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.
MBA preferred. Project management certification (PMP) preferred
3+ years’ experience working directly with the Louisiana Department of Health (LDH) Medicaid team
3+ years’ experience managing provider relationships
3+ years’ experience operational issue remediation
3+ years’ direct or dotted line management experience
Understanding of claims processing procedures
Understanding of provider data
Understanding of provider contracts
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. 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. 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.