Job Details

ID #4106100
Estado New York
Ciudad Melville
Full-time
Salario USD TBD TBD
Fuente Anthem, Inc.
Showed 2020-06-09
Fecha 2020-06-10
Fecha tope 2020-08-09
Categoría Etcétera
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Vice President East Region Networks

New York, Melville 00000 Melville USA

Vacancy caducado!

Description SHIFT: Day JobSCHEDULE: Full-timeThe

Vice President East Region Networks will have primary responsibility for provider contracting,

provider relations, recruitment, and strategy for provider networks within the

East Region (ME, NH, CT, NY, NJ, MD/DC, VA, NC, and GA). This is a tremendous

opportunity for the right person with significant experience leading regional

contracting efforts. KEY RESPONSIBILITIES

Lead all provider contracting, provider

relations, recruitment, and strategy for all markets within defined region for

all lines of business (Commercial and Government Business Division)

Work directly with Medicare, Commercial, and

Medicaid P&L owners to define, shape, and execute growth strategies (local,

national, and new markets) and retention initiatives

Execute on strategies to deliver current year

plan Cost of Care savings and identify incremental savings opportunities to be

implemented in subsequent years

Identify and/or execute on operational effectiveness

strategies/initiatives (e.g. Contraxx, EFA/EPA, EMAP) to achieve incremental

savings

Work closely with Provider Experience leadership

to maximize provider experience and to develop a best-in-class service model

for providers

Identify and/or execute on risk adjustment

strategies/initiatives to create incremental savings for Commercial, Medicare,

and Medicaid

Implementation of Provider Collaboration

initiatives including EPHC, Shared Savings, QHIP, etc…

Drive provider service, collaboration, and

engagement

Analyzing data and identifying drivers of

medical cost trends and implementing initiatives to mitigate trends

Ability to plan, organize, administer, and

coordinate a variety of large and complex services, projects, and programs.

Hire, train, coach, counsel, and evaluate

performance of direct reports

Ability to source, develop, and grow talent

The

ideal candidate will

leverage resources and partnerships, internally

and externally, to spearhead Anthem’s Provider Solutions efforts to address the

needs of our members, providing direction for high quality of care and

continued business growth. The Vice President East Region Networks is

responsible for leading, developing and overseeing the implementation of

regional provider solutions strategies.Qualifications PROFESSIONAL EXPERIENCE/EDUCATION

Bachelor’s degree in Business, Healthcare

Administration or other relevant area of study. Master’s degree preferred.

Minimum of 15 years leadership and executive

level experience spanning commercial and government business lines; in-depth

experience in the healthcare field including successful management experience

with a demonstrated record of hiring and developing direct reports and extended

leadership teams; or any combination of education and experience, which would

provide an equivalent background

Minimum of 10 years’ experience managing

provider networks or working in a risk bearing provider/delivery system

Proven success as an executive, collaborating

with other executive and leaders. Display personal agility to work across a

wide array of businesses and stakeholders to develop credibility and achieve

results.

Experience leading large national or regional

medical expense initiatives

Strong track record and experience in Managed

Care

Position required to be located within a primary Anthem office.

REQNUMBER: PS32000

Vacancy caducado!

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