Vacancy expired!
Provider Collaboration Director - Nashville, TN PS26439Location: Nashville, Tennessee, United StatesNewRequisition #: PS26439Your 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 atone of America's leading health benefits companies and a Fortune Top 50 Company.Provider Collaboration DirectorNashville, TNThe Provider Collaboration Director will be responsible for local management of Enhanced Personal Health Care (EPHC), payment innovation and collaborative programs across all lines of business. Primary duties may include, but are not limited to:
Provides provider support for successful value based arrangements; lead committee meetings.
Drives medical and behavioral health integration initiatives.
Function as company's SME in payment innovation and collaboration programs.
Identifies payment innovation gaps and engages appropriate resources for solution.
Analyzes financial performance quality metrics and reports to providers on the impact to performance.
Guides providers to move into more mature payment programs.
Conducts discussions with employer groups and health system executives.
Requires knowledge of regulatory requirements for line of business.
Requires a BA/BS degree; 8 years’ experience in contracting (value based, shared savings and Accountable Care Organization (ACO) development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background. Experience using financial models and analysis to negotiate rates with providers.Anthem, Inc. is ranked as one of America’sMost Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityIncmagazine Top 50 Company for Diversity. To learn more about our company andapply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
