Anthem, Inc. Risk Contracting Strategy Director in Mason, Ohio
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.
Risk Contracting Strategy Director
Responsible for providing strategic leadership for assigned region around expansion and adoption of risk contracting arrangements, including plan design, creation, management, and strategic planning in coordination and collaboration with multiple matrix partners.
Primary duties include , but are not limited to:
Identify and recommend to local Provider Solutions Lead and enterprise SMEs, physician groups to move to risk.
Actively participate in network strategy meetings and develop a 1-2 year pipeline for risk contracting.
Support effective negotiation of complex risk contracting agreements for all products throughout the region, including FPCC and risk deals.
Train and Coach PS associates how to negotiate risk deals.
Guide/direct the implementation of risk deals to ensure clean, effective execution to increase provider confidence taking on risks, in support of Anthem’s highest strategic goals.
Help identify best practices with managing risk deals ongoing and spread best practices quickly to increase Anthem’s results.
Where appropriate, help support network teams with standing up product partnerships that include elements of risk.
Collaborates and coordinates work with other departments within the business unit, and many matrix partners within the company, including but not limited to Finance, Actuarial, IT, and HCM.
Reports various results through various venues as well as to the leadership team.
The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.
Requires a BA/BS degree in a related field and a minimum of 10 years of leadership/management experience in health care management, marketing products, and managing significant business results; or any combination of education and experience, which would provide an equivalent background.
4 or more years of Provider Strategy, Service and/or Contracting experience
Master’s degree or other advanced degree
Provider metrics/performance experience
Health plan experience preferrable in Medicare, Medicaid or Commercial Business
Familiarity with Blue systems
Previous P&L and/or project management experience in health care setting
Excellent quantitative, marketing, financial, and strategic skills strongly preferred.
Travel up to 20% of the time (4 days/week)
This role is eligible for work at home/remote status
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.