Anthem, Inc. Strategy & Program Development Director- Medicare Risk Adjustment in Modesto, 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.
Strategy & Program Development Director, Medicare Risk Adjustment
Responsible for coordinating the relationship of the Group Retiree Solutions business unit with Enterprise Medicare Risk Adjustment team to ensure accurate and complete medical coding and compliance.
Primary duties may include, but are not limited to: - Monitors related legislation and advises senior management relative to compliance. - Researches new ventures and prospective revenue expansion opportunities. - Assists in creating company's strategic and annual plans.
Work location: Any Anthem state; may consider other locations for most qualified applicant.
Minimum qualifications: Requires a BA/BS degree in a related field and a minimum of 10 years of related Medicare Advantage Risk Adjustment experience including 5 years of leadership experience; or any combination of education and experience, which would provide an equivalent background.
Preferred qualifications: - Knowledge and experience in the products and services of the respective industry strongly preferred. - Experience working in the managed care / healthcare insurance industry strongly preferred. - MBA preferred. - Ability to travel may be required.
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.