Anthem, Inc. CareMore Associate General Manager in Tucson, Arizona
SHIFT: Day Job
Your Talent. Our Vision. At CareMore, 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.
CareMore is a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.
CareMore Associate General Manager
Responsible for overseeing CareMore's contracted provider network, including HEDIS/STAR, Coding, and Quality performance and clinic operations.
Primary duties may include, but are not limited to:
Manages a P&L between $100 and $500M to ensure the sub-region achieves growth, clinical operations, member experience, and network performance goals.
Conducts in-depth strategic research on market and competition.
Develops strategies to respond to competition and improve CareMore's market share.
Leads strategic initiatives that involve significant monetary investments and that support key strategic direction to CareMore with oversight from the Market GM.
Analyzes financial and operational data and prepares graphic presentations and talking points for the Market GM and Senior Leadership.
Serves as project manager for special projects as directed by executive management.
Hires, trains, coaches, counsels and evaluates performance of direct reports.
What You Contribute:
Strong communications and executive presence
Strong strategic managed care perspective for complex populations and ability to lead expansion of services across Medicare Advantage, Medicaid, and commercial populations
Ability to work in an agile “start-up” environment, including the ability to lead within ambiguous settings; strong team-building and presence; internal motivation and drive; and track record of delivering results
Able to flex between strategy development and operational execution
Hands-on clinical operations leadership experience (including team leadership and development; patient and community engagement; and field-based operations, among other functions), preferably managing in the primary care / outpatient setting, or in the home-based setting, including palliative care
Experience managing costs / budgets for care delivery partnerships, including capitated and/or value-based payment models
Ability to drive partnership and execution with key stakeholders, including health plan leadership, community organizations, and major provider partners
Ability to engage with brokers to support growth and leading implementation
Aptitude for strategic thinking with the ability to identify, leverage, and spread best practice while demonstrating a continuous innovation mindset
Ability to forge strong relationships with physicians and other healthcare leaders, and identify new opportunities to support CareMore’s growth
Strong strategic and operational analytic capabilities, including financial analysis and budgeting, and facility with PowerPoint, Excel, and other management tools / clinical applications
Review financials developing action plans to achieve performance metrics within P&L, HEDIS & Stars to support growth.
Requires a BA/BS in a related field and minimum of 5 years project management or healthcare delivery experience; or any combination of education and experience, which would provide an equivalent background.
Master’s or other advanced degree
2 or more years of experience managing clinic operations
2 or more years of people leadership experience
This role will require travel within the state of Arizona
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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.