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Provider Collaboration Manager Sr

Location: West Des Moines, IA
Job Family: Provider Network Management
Req #: PS44210
Date Posted: Mar 9, 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.

The Provider Collaboration Manager Sr is responsible for providing operational and administrative support for the implementation, auditing and resolution of loading issues for payment innovation programs.

Primary duties may include, but are not limited to:

  • Provides support for assigned provider contracts.
  • Manage and oversee the value based program intake process.
  • Obtains and analyzes financial performance quality metrics and reports to providers on the impact to performance.
  • Support and facilitates value based JOCs (Joint Operating Committee meetings).
  • Develops and maintains contact database and disseminates communications to providers as necessary.
  • Aggregate and analyze provider data from various sources to recommend and implement solutions to assist with provider collaboration activities.
  • Collaborates with provider contractors and network relations reps to meet provider service needs.
  • Encourages providers to act on patient outreach opportunities.

 

Qualifications

  • Requires a BA/BS degree; 5 years’ experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.
  • Provider environment experience preferred (Iowa market 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.

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