Anthem, Inc Mgr Reg Clinical Operations in Richmond, Virginia
Mgr Reg Clinical Operations
Location: Richmond, Virginia, United States
Requisition #: PS15714
Post Date: Jan 10, 2019
What Is CareMore?
CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve nearly200,000 patients in multiple states across Medicare, Medicaid, and commercial populations. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.
CareMore’s Health Networks, Primary Care+, Touch andCareMore@Home models drive strategy, operations, and care delivery in our national markets (Arizona, California, Colorado, Connecticut, Iowa, Nevada, New York, Tennessee, Texas, Virginia and the District of Columbia), where CareMore builds and runs capitated primary care medical groups, at-risk health networks and upstream care delivery products in service of high-risk Medicaid, Medicare and commercial patients, and our collaboration with Emory Health System in Georgia . Our comprehensive, upstream approach to health is led by robustmultidisciplinary teams of extensivists (managing acute and post-acute episodes of care), primary care clinicians, behavioral health clinicians, care management & engagement specialists (including social workers, case managers and community health workers), and mobile home-based care teams. We continue to evolve our model to effectively engage and care for complex patients, led by a team of passionate, execution-minded leaders dedicated to this mission.
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Your Talent. OurVision. 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 healthcare. 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.
Responsible for overseeing the care center operations for a region including new center development and start-ups. Primary duties may include, but are not limited to:
-Develops and implements business plans to ensure care center offices operate efficiently.
-Monitors quality measures.
-Provides leadership to and oversight of clinicaloperations staff.
-Monitors compliance, implements corrective actions, and provides training on processes, procedures and workflows.
-Assists with policy and procedure revisions and the development and implementation of new policies and procedures.
-Partners with management to develop short and long-range business plans, objectives, strategies, and goals.
-Supports the clinical operations team in the development and establishment of care centers in expansion markets.
-Develops and implements protocols, policies, and procedures directly associated with Care Center operations.
-Implements and oversees operational structure in all new care centers.
-Hires, trains, coaches, counsels, and evaluates performance of direct reports.
-Requires a BA/BS degree; 6 years of experience in the management of a large medical practice with multiple locations, including experience in an outpatient healthcare setting; or anycombination of education and experience, which would provide an equivalent background.
-Medical Assistant certificate is preferred.
-For CareMore business units, satisfactory completion of a pre-placement Tuberculosis test is a requirement for this position.
Anthem, Inc. is ranked as one of America's MostAdmired Companies among health insurers by Fortune magazine and is a 2018DiversityInc magazine Top 50 Company for Diversity. To learn more about ourcompany and apply, please visit us at careers.antheminc.com. An EqualOpportunity Employer/Disability/Veteran.