Job Details

ID #4015610
Estado Distrito de Columbia
Ciudad Washington
Full-time
Salario USD TBD TBD
Fuente Anthem, Inc.
Showed 2020-05-27
Fecha 2020-05-28
Fecha tope 2020-07-27
Categoría Etcétera
Crear un currículum vítae

Provider Network Manager II or Sr. - PS35840

Distrito de Columbia, Washington 00000 Washington USA

Vacancy caducado!

Description SHIFT: Day JobSCHEDULE: Full-timeYour 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.Provider Network Manager II or Provider Network Manager Sr.Target location: Woodland Hills, CA Anthem office; may consider a remote arrangement at manager's discretionThe Provider Network Manager II / Sr. will develop the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with the most complex providers at least 50% of the time. Complex providers may include, but are not limited to institutional providers, large medical groups and ancillary providers, providers in areas with strong competition or where greater provider education around managed care concepts is required. Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are often customized. Primary duties may include, but are not limited to:

Serves as key resource for Ancillary providers such as DME, O&P.

Manages key provider relationship(s) and related functions such as state-mandated exception process and capitation payment process.

Works independently and requires high level of judgment and discretion.

May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

Serves as a communication link between professional providers and the company.

Conducts more complex negotiations and drafts documents.

May prepare financial projections and conduct analysis.

May collaborate with sales team in making presentations to employer groups.

Qualifications Provider Network Manager:Requires a BA/BS degree; 3-5 years experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background. Requires some travel.Provider Network Manager Sr:Requires a BA/BS degree; 5-7 years experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Requires some travel.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.REQNUMBER: PS35840-US

Vacancy caducado!

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