Anthem, Inc. RVP I Provider Solutions - PS39088 in Oklahoma City, Oklahoma
SHIFT: Day Job
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.
Location: Oklahoma City, OK
Responsible for the strategic leadership for the provider network, including contracting and engagement, as well as leading the provider network management team in the assigned state with a benefit spend $1 billion. Also responsible for the local cost of care, trend management, implementation and local oversight of all types of payment innovation programs, and provider relations and education.
Primary duties may include, but are not limited to:
Delivers competitive cost of care trends in assigned state.
Develops provider networks that provide a competitive advantage.
Aligns contracting strategy with medical management strategy. Integrates quality metrics and incentives into contracting process.
Integrates quality metrics and incentives into contracting process.
Serves as Provider Solutions local single point of accountability for all product lines and is the state lead for the Integrated Cost Management (ICM) committee.
Facilitates the implementation of local system and product consolidation efforts.
Ensures compliance with regulatory and accreditation standards.
Collaborates with Product Development to recommend and implement innovative benefit plan designs.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires BS/BA in business administration or related healthcare field.
8+ years of experience in healthcare operations, finance, underwriting, actuary, network development and/or sales
Any combination of education and experience, which would provide an equivalent background.
Experience in the market preferred.
Experience in Medicaid preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 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 Employer/Disability/Veteran