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Anthem, Inc. Cost Of Care Manager (Financial Analysis Mgr) in College Point, New York

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.

Cost of Care Manager (Financial Analysis Mgr)-

Position can be remote. Preferred location in these Eastern markets: New York, New Jersey, Maryland, Virginia, Washington DC, Florida, Ohio, North Carolina, South Carolina, Georgia, Kentucky, West Virginia

The Cost of Care (Financial Analysis Mg)r is responsible for managing the development and implementation of local/regional cost of care initiatives, and the tactical plans of the business unit.

Primary duties may include, but are not limited to:

  • Oversees the development and execution of new and innovative initiatives specific to one of more state plans, monitoring financial and operational performance and enhancing the company’s market competitiveness.

  • Identifies and develops best practices and cost of care improvement processes around local physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design participation, and financial operations.

  • Works with management to provide decision support analysis.

  • Conducts and documents complex financial and business related analyses and research fields including financial and expense performance, rate of return, depreciation, working capital and investment.

  • Oversees the identification of potential cost of care savings opportunities through complex analytics, development of action plans, benefits and risk assessments and partners with the actuarial team to develop and ensure accurate savings quantification.

  • Champions cost of care initiatives, negotiates for human capital resources, and partners with care management, claims, IT, and business partners.

Qualifications

  • Requires a BS/BA degree; Financial, Business, and Leadership acumen; 5+ years of relevant experience in Health Care; or any combination of education and experience, which would provide an equivalent background.

  • MBA, MHA, MA preferred.

  • Project management experience is strongly preferred as well as a strong analytical background.

  • PMP or Six Sigma Green Belt a plus.

  • Any WAVE experience is also a plus.

  • Prior experience with provider network contracting, provider networks, claims, finance, and operations is preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2019 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

REQNUMBER: PS46327

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