Provider Network Manager
Company: Anthem, Inc.
Posted on: April 8, 2021
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you apply Provider Network Manager Your Talent. Our Vision. At
Healthy Blue, a strategic alliance of Blue Cross NC and Amerigroup,
an Anthem Inc. company, 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.
-- Provider Network Manager Location: Cary, North
Carolina-Office-based, virtual start Develops the provider network
through contract negotiations (language and rates), relationship
development, and servicing. Primary focus of this role is
contracting and negotiating contract terms. Typically works with
less-complex to complex providers. Providers may include, but are
not limited to, smaller institutional providers, professional
providers with more complex contracts, medical groups, physician
groups, small hospitals that are not part of a health system,
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. Value based
concepts understanding. Fee schedules can be customized.
- Works with increased independence and requires increased use of
judgment and discretion.
- May work on cross-functional projects requiring collaboration
with other key areas.
- 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. Qualifications Additional Experience:
- Healthcare experience strongly preferred
- Experience with Medicaid preferred
- Systems experience preferred; FACETS, Contraxx, Salesforce
Requires a BA/BS degree; 3 years' experience in contracting,
provider relations, provider servicing; or any combination of
education and experience, which would provide an equivalent
background. May require travel up to 20%. Valid driver's license
required. We offer a range of market-competitive total rewards that
include merit increases, paid holidays, Paid Time Off, and
incentive bonus programs (unless covered by a collective bargaining
agreement), medical, dental, vision, short and long term disability
benefits, 401(k) +match, stock purchase plan, life insurance,
wellness programs and financial education resources, to name a few.
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. Please be advised that Anthem only accepts resumes from
agencies that have a signed agreement with Anthem. Accordingly,
Anthem is not obligated to pay referral fees to any agency that is
not a party to an agreement with Anthem. Thus, any unsolicited
resumes, including those submitted to hiring managers, are deemed
to be the property of Anthem. EEO is the Law Please use the links
below to review statements of protection from discrimination under
Federal law for job applicants and employees. Anthem, Inc. is
committed to helping individuals with disabilities participate in
the workforce and ensuring equal opportunity to apply and compete
for jobs. If you are an individual with a disability and require a
reasonable accommodation to complete the application process,
please email Human Resources at email@example.com for further
assistance. *WARNING : Please beware of phishing scams that solicit
interviews or promote work-at-home opportunities, some of which may
pose as legitimate companies. Please be advised that Anthem will
never ask you for a credit card, send you a check, or ask you for
any type of payment as part of consideration for employment with
our company. If you feel that you have been the victim of a scam
such as this, please report the incident to the Federal Trade
Commission here by selecting the 'Rip-offs and Imposter Scams'
option. Anthem requires a completed online application for
consideration of employment for any position.
Keywords: Anthem, Inc., Elgin , Provider Network Manager, Executive , Cary, Illinois
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