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Provider Network Management Director

Location:
Job Family: Provider Network Management
Req #: PS39270
Date Posted: May 12, 2021

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.

Provider Network Management Director

Work Location – Western United States (position eligible to work from home)

 

 

 

Develops the provider network through contract negotiations, relationship development, and servicing for multiple provider types, dental providers, ancillary, hospitals and physicians (not just one of these provider types). Primary focus of this role is contracting and negotiating contract terms along with servicing/educating providers. Spends a minimum of 50% of the time either in a leadership role or that of subject matter expert and deals with only the most complex providers. Primary duties may include, but are not limited to:

  • Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning.
  • Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit.
  • Typically serves as lead contractor for large scale, multi-faceted negotiations.
  • Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact.
  • May assist management in network development planning.
  • May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring.
  • Works with the most complex providers such as institutional providers, large medical groups and ancillary providers, and providers in areas with significant competition.
  • Contracts involve non-standard arrangements that require a high level of negotiation skills.
  • Fee schedules are typically customized.
  • 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 the most complex negotiations.
  • Prepares financial projections and conducts analysis.

 

 

 

 

Qualifications

Requires a BA/BS degree; 8-10 years’ experience in contracting, provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Requires limited travel.

Applicable to Colorado Applicants Only
Annual Salary Range*: $93,520.08 - $116,900 
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 
* The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting.  The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future.  No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law. 
 
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.  An Equal Opportunity Employer/Disability/Veteran.

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.
 

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