Anthem Inc. Medical Jobs

Job Information

Anthem, Inc. Network Support Manager in Tucson, Arizona

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.

Location(s): Tuscun, Arizona What you’ll be doing:

A Network Support Manager coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects designed to improve all levels of network performance, which may include multiple lines of business. Primary duties may include, but are not limited to:

  • May oversee the day to day training, guidance and management of department activities and facilitates resolution of problems and issues.

  • Analyze and coordinates strategies, policies and programs to ensure accurate administration of facility provider contracts across multiple lines of business and multiple platforms.

  • Creates tools to assist contract implementation and administration.

  • Interfaces with providers on contractual obligations, education, and provider operations manual updates.

  • Coordinates and acts as a business partner on projects that ensures accurate facility and provider reimbursement policy and procedures, such as pricing, POC, OHAS HMO AND OHAS II, complaints and appeals etc.

Qualifications

Qualifications:

  • Requires a BA/BS degree and a minimum of 3 years' experience in the health care industry with background in provider relations, facility contracts and reimbursement; or any combination of education and experience, which would provide an equivalent background.

  • MBA, MHA or related graduate degree strongly 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. 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.

    REQNUMBER: PS63371

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