Anthem, Inc. Solutions Management Manager in Chicago, Illinois
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 care companies and a Fortune Top 50 Company.
The Solutions Management Manager is responsible for roadmap strategy, planning, and implementation of enterprise-wide Medicare Stars Initiatives for Anthem's Population Health Platform. Serves as the product owner and subject matter expert on all aspects of technical and business partner interactions for existing programs and works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on analytics.
Primary duties include, but are not limited to:
Provides consultation and advice to business partners regarding benefits of products and analytics.
Explains timelines and measures of success for implementing these products.
Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses.
Schedules and coordinates implementation of contracted products and services for assigned business partners.
Coordinates data requirements, production schedules and deliverables with the business partner. Oversees all business partner specifications and/or modifications for contracted products and services. Provides business partners with the resources, training and services necessary to effectively utilize the products that the department provides.
Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance.
Maintains detailed knowledge of current clinical measures and future clinical measure development plans, communicates this information to business partners, assists in the selection of clinical measures to be utilized in pilot and full rollout of products and services, and guides business partners in continually reviewing and updating clinical measure sets.
Maintains detailed knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner.
Leads department projects and mentors solutions management staff.
Requires a BA/BS degree and 5-7 years of experience in a related field, 2-3 years’ experience in solutions management; or an equivalent combination of education and experience required.
Graduate degree and/or professional designation related to field preferred.
SAFE Agile product management experience preferred.
Must be a highly motivated/driven individual
Background/ experience supporting Medicare STARS initiatives
Experience with Product strategy/Higher level planning
Ability to intake business cases and understand detail requirements
Persona work flows / interfacing applications analytics
Knowledge using and understanding CMS-HCC (hierarchical condition categories) reporting
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.