Anthem, Inc. RVP Network Management in Colorado Springs, Colorado
SHIFT: Day Job
Your 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 benefits companies and a Fortune Top 50 Company.
Leads the entire network management function within an assigned geographical location. Oversees the total relationship with all providers including physicians, hospitals, and care centers in that location.
Primary duties may include, but are not limited to:
Develops and implements network contracting and network expansion strategies specific to local markets in the assigned regions, to include identifying and cultivating strategic alliances and building new network models with significant provider organizations.
Provides strategic design and implementation of high performance networks to include facility and provider performance incentives.
Delivers planned medical trends and high quality/large provider networks that support business objectives for MLR, growth and income results.
Requires collaborating and working with sales team to identify customers needs and to close network gaps.
Assists staff, as needed, during contract negotiations with high-volume provider groups or facilities.
Chairs and/or participates on internal committees, joint operating committees with provider organizations (providers) and operations meeting.
Ensures compliance with all regulatory and accreditation standards.
Oversees provider services to include provider education and general provider relations support.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires a BA/BS degree.
10 years progressively responsible related experience in contract negotiation, network development and provider relations.
Any combination of education and experience, which would provide an equivalent background.
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.