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Provider Network Mgr II - Any Anthem Office - PS5311

Provider Network Mgr II - Any Anthem Office - PS5311
New
Location: United States
Field: Provider Network Management
Requisition #: PS5311
Post Date: Apr 24, 2018
_Your Talent. Our Vision._ At Anthem, Inc., it?s a powerful combination, and the foundation upon which we?re creating greater 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.
Manages enterprise ancillary contracting efforts, that provide a competitive advantage and deliver competitive cost of care trends. Primary duties include, but are not limited to:
Provider Network Manager II
Responsible for developing the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. This level typically works with more complex providers at least 50% of the time. Complex providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. Contracts may involve non-standard arrangements that require a moderate level of negotiation skills. Fee schedules can be customized. Works with increased independence and requires increased use of judgment and discretion. Serves as resource for lower-leveled consultants. May work on cross-functional projects requiring collaboration with other key areas. May collaborate with sales team in making presentations to employer groups. Essential duties may include, but are not limited to: Serves as a communication link between professional providers and the company. Conducts more complex negotiations and drafts documents. Assists in preparing financial projections and conducting analysis as required. Performs other duties as assigned.
Provider Network Manager II
+ Requires BA/BS, Masters degree preferred, and 3-5 years experience in contracting, provider relations, provider servicing or any combination of education and experience that would provide an equivalent background.
+ Ancillary contracting experience preferred.
+ Must have strong oral and written communication skills, good analytical skills, and PC skills.
+ Experience in market and network analysis preferred.
+ Experience developing reimbursement and contracting strategies preferred.
+ Experience with Medicare and/or Medicaid strongly preferred.
+ Requires travel.
_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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