Provider Network Manager I

Provider Network Manager I

25 Dec 2024
California, Haciendaheights, 91745 Haciendaheights USA

Provider Network Manager I

Vacancy expired!

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

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