Anthem, Inc. Cost of Care Director in Columbia, Maryland
SHIFT: Day Job
Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.
For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
Position: Cost of Care Director Location: Remote
The Cost of Care Director leads and manages multiple cost of care initiatives including the most complex initiatives enterprise wide (e.g. local, within each state, across business segments and at the enterprise level) and drives their execution. The incumbent understands, predicts and implements measures to control healthcare costs and to make healthcare more affordable for our customers. The incumbent also develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company market competiveness.
Primary duties may include, but are not limited to:
Identifies and develops best practices and Behavioral Health cost of care improvement processes around BH provider network strategies, BH utilization management efforts, new products, and financial operations.
Oversees the identification of potential cost of care savings opportunities through complex analytics via partnering with the cost of care analytics team, to developing action plans, benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification.
Prioritizes cost of care program investments focusing on trend mitigation and driving incremental cost of care program management while achieving long-term and short-term financial objectives with the primary goal of ensuring funding is utilized for the highest ROIs.
Champions cost of care initiatives, negotiates for human capital resources, and partners with care management, claims, IT, and business partners.
Manages and presents cost of care projects to senior leadership.
Serves on local and enterprise committees.
Plans, leads and oversees cost of care planning meetings and tracks and reports on cost of care projects.
Education: B.S. or B.A. degree required, M.B.A., M.H.A., or M.A. preferred
Experience: 9 years relevant experience in Health Care; or any combination of education and experience which would provide an equivalent background
Certifications: PMP or Six Sigma Green Belt preferred