Innovative Medicaid Partnerships Director ()

/ Your Talent. Our Vision. / At Amerigroup , a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it?s a powerful combination. It?s the foundation upon which we?re creating greater 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 .
Location: This is aWork@Homeposition. Up to 50% travel required.
The Program Director for the Medicaid Product Development team is responsible for identifying new and unique partnerships in the Medicaid business to support Anthem?s solutions specialized service populations (i.e. individuals with intellectual or developmental disabilities, children in foster care, people with substance use or mental health conditions or other people with physical disabilities needing long-term services and supports). The Program Director should have knowledge of, and be comfortable working with, non-profits and other community based organizations, to develop unique and scalable solutions to expand and enhance the Anthem Medicaid product offering. Primary duties may include, but are not limited to:
Strategizes with internal and external leaders to develop ideas and expand the concepts of unique, joint partnerships to support our Medicaid program, positioning Anthem as a leader in the Medicaid space, making us more competitive in bids, and providing a better experience for our members/providers.
Provides subject matter expertise either from managed care and/or non-profit perspective, and generates ideas and concepts to overcome business obstacles and gaps prevalent in solutions for specialized service populations.
Assists Partners in developing joint programs, capabilities and services that create a win-win for both organizations and more importantly, for the Medicaid member.
Guides development of the business case and implementation plan to ensure the program is launched effectively and seamlessly and integrated with Anthem?s specialized product solutions.
Directs the planning, implementation, and evaluation of program developed via the partnerships, including the associated analytics that support the business case.
Creates and delivers formal and informal presentations about the new solutions and the value of the solutions to Anthem business executives and leaders in the Medicaid business.
Establishes and builds credibility with both internal and external audiences with diverse, and sometimes conflicting, perspectives to design and convey the value proposition of the partnership.
BA/BS degree; 10 years of experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.
Knowledge of managed care and non-profit operations.
Working knowledge of Medicaid programs (including clinical, non-clinical, operations, customer service and other functions), particularly related to emerging specialized service products/programs and populations (i.e. HCBS waiver programs, Foster Care programs, IDD services and programs, Medicaid Expansion)
High energy, self-starter, with the proven ability to think creatively and embrace challenges.
Comfortable with ambiguity and thrives on addressing problems with new (untested and untried) solutions OR programs being applied in a new way or with a new construct.
Up to 50% travel throughout the United States.
MBA or other relevant advanced degree preferred.
/ Anthem, Inc. is ranked as one of America?s Most Admired Companies among health insurers by Fortune magazine and is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at / / / /. EOE. M/F/Disability/Veteran./
Job Business Support
Title: Innovative Medicaid Partnerships Director (123079)
Location: MA-Andover
Requisition ID: 123079 9210ff64d696464a818b220cdde59468
Company Description:

We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best.  As our companies continue to take a more active role in helping people access the right health care and programs, going by a name that people know and trust is important.

Anthem, Inc. is one of the nation's leading health benefits insurer and a Fortune Top 50 company.  At Anthem, Inc., we are working to transform health care with trusted and caring solutions and meaningfully advance affordability and better health outcomes for our health plan members. Nearly 69 million people are served by our affiliated companies including more than 37 million enrolled in our family of health plans. 

  • One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.

  • We offer a broad range of medical and specialty products.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to help drive the future of health care.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity.  To learn more about our co

Don't Be Fooled

The fraudster will send a check to the victim who has accepted a job. The check can be for multiple reasons such as signing bonus, supplies, etc. The victim will be instructed to deposit the check and use the money for any of these reasons and then instructed to send the remaining funds to the fraudster. The check will bounce and the victim is left responsible.

More Jobs

District Partnerships Director
Boston, MA Panorama Education
Partnerships Director, Solve
Cambridge, MA Massachusetts Institute of Technology
Partnerships Director, Solve
Cambridge, MA Massachusetts Institute of Technology
Associate Director US Medical, Innovation and ...
Weston, MA Biogen Idec
Director of Technology Innovation
Milford, MA Avecia Biologics Limited