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.Director Continuous Value Improvement
(PS35162)Must be able to report to an Anthem office daily.Responsible for
leading the development and implementation of ongoing continuous value
improvement (CVI) including assessments, reports, training and recommendations
for operational improvements for ACM programs. Primary duties may include, but
are not limited to:
Leads the
delivery of excellence in business processes for ACM.
Creates and leads
a CVI program based on solid performance management to drive efficiency and
effectiveness across operations and clinical programs.
Monitors ACM
operational processes, productivity metrics and clinical outcome metrics.
Maintains ongoing
updates to UM/CM/DM processes based on state and federal regulations,
accreditation requirements and medical policies, and industry best practices.
Oversees
SharePoint and WorkNet ACM content and updates.
Works with
strategic team regarding improvement opportunities.
Develops and
helps to implement operational or clinical improvement action steps when
metrics are not meeting targeted quality goals.
Develops SVP
operational dashboard.
Hires, trains,
coaches, counsels, and evaluates performance of direct reports.
Qualifications BA/BS degree in a related field; Six Sigma Certification; 5+ years of related progressive experience including experience in process improvement, including 4 years of management experience; any combination of education and experience, which would provide an equivalent background. Master's degree preferred.Anthem, Inc. is ranked as one of America’s Most Admired Companiesamong 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: PS35162
Vacancy caducado!