Anthem, Inc. Provider Contract Manager in Downey, California
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.
Provider Contract Manager
Targeting California but open to a remote arrangement, pending background and experience
The Provider Contract Manager will participate in and may lead less complex contract administration initiatives for creating and managing contract templates used across the enterprise. They will ensure consistency and compliance with legislative and regulatory requirements as well as maximize operational efficiency and provider relationships. They will serve as subject matter expert for contract language, developing contract language tools and solutions for the provider contracting staff. Primary duties may include, but are not limited to:
Creates common contract templates and language variations for provider groups.
Works closely with Legal and provider contracting management to ensure that contracts meet all federal, state, and regulatory requirements as well as operational efficiencies and other high-value business needs.
Leads the development of optimal language changes and the use of alternative or exception language approved for specific uses.
Serves as subject matter expert around contract language in response to RFPs, audits, and legal clarifications.
Makes recommendations to contract modifications and presents to the governing committee for approval.
Works with contract negotiators to identify best practice solutions to contract needs and helps educate contract negotiators on contract language impacts.
Serves as a key contributor in the development and implementation of enterprise contract management/administration strategies, processes, and systems.
Leads reviews to ensure that contract terms and language can be implemented efficiently.
Researches and quantifies impact to contract modifications.
Develops and maintains tracking software.
Requires a BS/BA degree in related field; 5-7 years business and professional experience in contracting, provider relations, and provider servicing; or any combination of education and experience, which would provide an equivalent background.
Masters degree preferred.
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.