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Anthem, Inc. Strategy Director - Program Integrity in Walnut Creek, California


SHIFT: Day Job

SCHEDULE: Full-time

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.

Responsible for working for a VP and above to identify, develop and propose planning and strategy to improve results based on continuous needs assessment.

Primary duties may include, but are not limited to:

  • Partners with executive leadership to define our strategy and success criteria for the future

  • Facilitates Strategy development sessions with Business leaders and teams both within and adjacent to Program Integrity

  • Creates business cases in partnership with PI operational areas and aligns to overarching divisional and corporate Strategy

  • Champion's breakthrough projects to transform our current business environment into industry leading best practice organization

  • Translates strategy into defined tactics, programs/projects, priorities and timelines and ensures alignment and attainment of both the regions and the enterprises strategic plans to turn strategy into reality

  • Creates and presents extremely high quality presentations to executive levels

  • Oversees definition development and implementation of metrics to report and monitor progress against goals and ensures plan of record supports strategy milestone deliverables

  • Monitors, measures and communicates delivery against business strategic plan and the quality of outcomes. Researches relevant trends and activities in their area of expertise and works with business leadership to further define business strategy and sustain a competitive advantage in the marketplace

  • Develops, monitors and tracks metrics to track budget and spending. Collaborates with senior team and staff to develop tactical plans and communication strategies

  • Often acts as decision maker on projects or provides guidance to senior team on complex issues. Serves as a representative on enterprise and inter-regional initiatives

  • Provides coaching and mentoring to other leaders in the organization on strategic thinking and on projects that deliver high return and high strategic value

  • Manages vendor interaction and management, including vendor selection, contract and rate negotiation, issue resolution, developing and reviewing statements of work, representation on vendor business and Executive committees, speaking engagements, etc.

  • Often serves as the subject matter expert in projects and initiatives

  • Often takes responsibility for approval of all projects sponsored by their Executive Sponsor

    Preferred qualifications

  • Background in Healthcare, Payment Integrity, Claims, Reimbursement, and Cost of Care

  • Experience in Management or Strategy Consulting with leading Consulting firm

  • Experience creating high-quality presentations and presenting to Senior Leadership

  • Expert facilitation skills


Requires a BS/BA degree in a related field; 10 years of strategic planning, project/program management, vendor management experience including 3 years of leadership/management with business knowledge in multiple disciplines within a Healthcare organization; 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 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.

REQNUMBER: PS54133-California