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Provider Collaboration Director

Location: Portland, ME
Job Family: Provider Network Management
Req #: PS47410
Date Posted: Apr 23, 2021

Description

SHIFT: Day Job

SCHEDULE: Full-time

Responsible for local management of Enhanced Personal Health Care (EPHC), payment innovation and collaborative programs across all lines of business.

Primary duties may include, but are not limited to:

  • Provides provider support for successful value based arrangements; lead committee meetings.
  • Drives medical and behavioral health integration initiatives.
  • Function as company's SME in payment innovation and collaboration programs.
  • Identifies payment innovation gaps and engages appropriate resources for solution.
  • Analyzes financial performance quality metrics and reports to providers on the impact to performance.
  • Guides providers to move into more mature payment programs.
  • Conducts discussions with employer groups and health system executives.
  • Requires knowledge of regulatory requirements for line of business.

Qualifications

  • Requires a BA/BS degree; 8 years’ experience in contracting (value based, shared savings and Accountable Care Organization (ACO) development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Experience using financial models and analysis to negotiate rates with providers.


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. 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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