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Network Contract Coord Sr

Location: Colorado Springs, CO
Job Family: Provider Network Management
Req #: PS40244
Date Posted: Oct 18, 2020

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.

Given Anthem’s scale, balance sheet, broad national reach and depth at the local market level, Anthem has established a new business unit called the Diversified Business Group.  The Diversified Business Group is a solutions-oriented business unit within the Company that will support Anthem and other external clients in the pursuit of transforming healthcare.

Network Contract Coord Sr

Location: PositionColorado Springs, CO

SummaryProvides a single point of accountability for facilitating complex contract loading and ensuring optimal provider service delivery and database accuracy.

Primary duties may include, but are not limited to:

  • Primary duties may include, but are not limited to: Identifies, analyzes, and resolves problems for multiple provider database issues.
  • Researches and resolves complex issues for multiple business areas to assure accurate reimbursement based on provider contract and area fee schedules.
  • Responsible for complex group assignments in a large geographic territory. Interprets update requests and coordinates with internal and external customers to clarify and complete the requests.
  • Provides timely research of complex provider information and creates clear and concise provider database update submissions.
  • Reviews incoming contracts and works with the provider relations reps, providers and the credentialing department to facilitate new and re-contracting efforts for Institutional, Professional, HMO and Ancillary products.
  • Provides guidance and support to teammates on more complex issues.

Qualifications

  • Requires a BA/BS degree in a related field; 5 years experience with provider contracts, plan procedures, and policies; or any combination of education and experience, which would provide an equivalent background

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veterans

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