Anthem Inc. Medical Jobs

Job Information

Anthem, Inc. RVP I Provider Solutions - Mississippi in Mississippi

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 benefits companies and a Fortune Top 50 Company.

Location: Mississippi

Job Summary:

Responsible for providing strategic leadership for provider engagement and contracting for the State of Mississippi with a benefit spend between $3 billion and $8 billion, including relationship management, local cost of care and trend management, provider contracting, implementation and local oversight of all types of payment innovation programs, and provider relations and education.

Primary duties may include, but are not limited to:

  • Delivers competitive cost of care trends for assigned state.

  • Develops provider networks that provide a competitive advantage.

  • Aligns contracting strategy with medical management strategy.

  • Drives provider collaboration and integrating quality metrics and incentives into contracting process.

  • Serves as Provider Solutions local single point of accountability for all product lines and is the state lead for driving Cost of Care strategies and initiatives.

  • Facilitates the implementation of local system and product consolidation efforts.

  • Ensures compliance with regulatory and accreditation standards.

  • Collaborates with Product Development to recommend and implement innovative benefit plan designs.

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

Qualifications

  • Requires BS/BA in business administration or related healthcare field.

  • 8+ years of experience in healthcare operations, finance, underwriting, actuary, network development and/or sales

  • Any combination of education and experience, which would provide an equivalent background.

  • Direct management experience preferred.

  • Managed care and Medicaid experience.

  • Local marketplace experience in Mississippi strongly preferred.

  • Experience working with regulators preferred.

  • Experience building relationships with key stakeholders.

  • End to end execution experience from contracting to claims ready.

  • MBA preferred.

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: PS42935

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