Anthem, Inc. Medicare Program Manager in Flushing, New York
SHIFT: Day Job
Your Talent. Our Vision. At Anthem Blue Cross and Blue Shield, a proud member of the Anthem, Inc. family of companies, 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.
Required Anthem office: New York
Please be aware this position is not a people leader Manager but will operate as an individual contributor and will not have direct reports
•Manages and coordinates the development and implementation of on-going provider/client facing programs pertaining to HEDIS and Risk Adjustment; monitor provider performance and engagement related to the established metrics and key performance indicators.
•Maintains awareness of market and industry trends.
•Manages external provider/client facing relationships and partners with corporate and regional business areas.
•Coordinates training related to external provider/client facing program; develops program success measures and performs periodic assessments of program success.
•Requires a BA/BS degree;
•5-7 years of external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.
•Graduate degree preferred.
•Project management certification preferred.
•Medicare/Medicaid and/or Managed Care experience with emphasis on Network, Quality, Value Base Payment (VBP) methodology, and/or Risk provider/client facing programs.
•Excellent written and verbal communication and presentation skills.
•Proficient in PowerPoint and excel, advanced presentation and facilitation skills required.
•Must be organized and be able to work independently.
•Physician environment experience in quality improvement, efficiency metrics, population health, data analytics and electronic health records preferred.