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Provider Network Mgr I/II/Sr -...

Monster
 
 
 
 

Job Summary

Company
Anthem
Location
Manchester, NH
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_PS2944

Provider Network Mgr I/II/Sr - Manchester, NH (PS2944)

About the Job

Description


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.


As a member of the New Hampshire Provider Solutions team, this person will develop & manage our provider network with an emphasis on contract negotiations and relationship management.

The primary focus of this role is negotiating contract rates and terms with hospitals, health systems, ambulatory surgery centers, imaging centers, urgent care centers, and large physician organizations.

This position manages more complex providers/health systems, complex providers include multi-institutional providers, professional providers with more complex contract terms, large medical groups, and ancillary providers. Contracts involve risk-bearing financial arrangements that require proven negotiation skills.

Supports the implementation of product partnership opportunities and/or equity-based relationships in the market, and providing tangible support while the product partnership/equity-based relationship is conceived, developed, and finally launched.

May work on cross-functional projects requiring collaboration with other key areas/departments. May collaborate with Sales team in making presentations to existing as well as prospective employer groups. Assists in preparing financial projections and conducting analysis as required.

Additionally this position will provide support to Anthem's payment innovation arrangements, including hospital and physician Pay-for-Performance programs, Bundled Payment arrangements, and Patient-Centered Care Models such as Accountable Care Organization arrangements, Patient Centered Medical Home models, and Chronic Care models.

Qualifications


Requires

  • BA/BS degree; 2-7 years experience in healthcare contracting, provider relations, provider servicing; or any combination of education and experience that would afford equivalent competencies.
  • Strong oral and written communication skills, a strong analytical background, with proficiency in programs such as Microsoft Excel. Candidate must be very detail oriented, possess critical thinking, organizational skills, and people skills.
  • Requires limited travel within the New Hampshire market.
  • Provider Network Manager I - I - 2 years of experience
  • Provider Network Manager II - 3-5 years of experience
  • Provider Network Manager Sr. - 5-7 years of experience, as well as demonstrated leadership skills.
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

 

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