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 Experience Manager or Director, Workforce Management
This position may be filled at either job level, and the position may be worked from any Anthem, Inc. location, excluding offices in CA, CT, NY, or NH.
The Provider Experience Manager is responsible for developing, executing and delivering operational readiness plans for provider experience strategic initiatives. Primary duties may include, but are not limited to:
Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members.
Coordinates the development and delivery of required training to support the needs of the project team and operational/production users.
Facilitates development and delivery of job aids for production operational users.
Monitors overall impact to Provider Experience Key Performance Indicators to identify and facilitate changes.
Manages pre and post implementation claims audits to identify and facilitate changes to provider experience processes.
Provides subject matter expertise support for projects and Small Systems Change Requests delivery.
Leads and defines standards for provider experience business applications.
Identifies, leads and/or participates in targeted continuous improvement activities.
The Provider Experience Director is responsible for supporting business strategies through an integrated portfolio of external client facing programs, projects and initiatives, such as provider data management, implementation of new tool suites and operational processes, or other provider initiatives as well as market and regulatory driven updates. Primary duties may include, but are not limited to:
Provide subject matter expertise in regards to strategic initiatives, may act as a liaison to IT or other internal and external business partners, be a corporate single point of contact, and mentor regional subject matter experts.
Lead and defines standards for provider experience business applications.
Partners with management to identify high value initiatives.
Identifies best practices and facilitates changes to provider experience processes to incorporate lessons learned from pre and post implementation claims audits.
Leads the standardization of operational readiness plans for provider experience initiatives and mentors team members on best practices.
Executes and delivers strategic initiatives effectively with focus on pricing, demographics or process improvements.
Provides support to Staff VP Business Solutions in management of multi-year strategy.
Provider Experience Manager requires :
BA/BS degree in Business or related field
5 years within a healthcare organization supporting operations, provider or claims including experience with delivery of business systems and/or process improvement;
5 years of provider experience business disciplines within provider experience (provider call center, pricing, provider demographics)
or any combination of education and experience, which would provide an equivalent background.
This position is fast-paced and requires a candidate that is able to quickly interpret and translate data and make process recommendation based on that data quickly.
Provider Experience Director
Requires a BA/BS degree in business or a related field
7 years of management experience in healthcare operations, network management, enterprise level project management experience; or any combination of education and experience, which would provide an equivalent background.
PMP, Six Sigma, and/or BA certification is an asset.
This position is fast-paced and requires a candidate that is able to quickly interpret and translate data and make process recommendation based on that data quickly
This position is posted as a job family, and the selected candidate will be placed into the job level commensurate with their experience.
/ // 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 company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran. /
Job Business Support
Title: Provider Experience Manager or Director-Workforce Management - Multiple Locations-#122627
Other Locations: VA-Richmond, IN-Indianapolis, KY-Louisville, GA-Columbus
Requisition ID: 122627 04f0bcca053244928aa559c077ea5a00
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