Anthem Inc. Veterans Jobs

Job Information

Anthem, Inc Provider Network Management Director - New York, NY - PS25384 in New York City, New York

Provider Network Management Director - New York, NY - PS25384

Location: New York City, New York, United States


Requisition #: PS25384

Post Date: 4 days ago

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 benefits companies and a Fortune Top 50 Company.

Location: This is an office-based position in New York, NY.

The Provider Network Management Director will develop the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital based and hospital owned ancillary providers. The primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, affiliated providers and drives and support value-based initiatives to include delegated risk deals.

Primary duties may include, but are not limited to:

  • Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning.

  • Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit.

  • Typically serves as lead contractor for large scale, multi-faceted negotiations.

  • Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact.

  • May assist management in network development planning.

  • May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring.

  • Contracts involve non-standard arrangements that require a high level of negotiation skills.

  • Fee schedules are customized.

  • Works independently and requires high level of judgment and discretion.

  • May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

  • May collaborate with sales team in making presentations to employer groups.

  • Serves as a communication link between providers and the company.

  • Conducts the most complex negotiations.

  • Prepares financial projections and conducts analysis.

  • Requires a BA/BS degree

  • 8+ years’ experience in contracting (value based, shared savings and ACO development), provider relations, and provider servicing is required.

  • Experience must include prior contracting experience.

  • Experience using financial models and analysis to negotiate rates with providers is required.

  • Requires 10-15% local travel.

  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and

analytical skills.

  • High level of proficiency MS Office (Word, Outlook, Excel) is required.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran.