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Description SHIFT: Day JobSCHEDULE: Full-timeYour 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.Provider Network Manager IWork Location – Open to anywhere in the US, work
from home eligibleDevelops the provider
network through contract negotiations, relationship development, and servicing.
Primary focus of this role is contracting and negotiating contract terms with
providers specializing in workers’ compensation. Typically works with less
complex providers which may include, but are not limited to, professional
providers, practice groups, small medical groups, providers in less competitive
markets, and providers with greater familiarity with managed care concepts.
Contracts tend to be more standard and afford less opportunity for
customization. Fee schedules are fairly standardized with reimbursement models
limited and well-defined. May participate in intradepartmental projects. Operates
with general supervision, elevating unusual situations to management as
required. Primary duties may include, but are not limited to: Solicits
participation in the network and conducts re-contracting efforts as needed.
Serves as a communication link between professional providers and the company.
Conducts limited negotiations and drafts documents. Assists in preparing
financial projections as required. Requires a BA/BS
degree; 2 years experience in contracting, provider relations, provider
servicing; or any combination of education and experience, which would provide
an equivalent background. Requires travel.Anthem, Inc. is ranked as one of America’s Most Admired Companies among
health insurers by Fortune magazine and has been named a 2019 Best Employers
for Diversity by Forbes. To learn more about our company and apply, please
visit us at careers.antheminc.com. 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: PS43259