Anthem Provider Network Manager II - #128665 in Louisville, Kentucky

/ 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 willdrive 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.

Location: US - Work from home

TheProvider Network Manager IIdevelops the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Typically works with more complex providers at least 50% of the time. Complex providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, 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. Fee schedules can be customized. Works with increased independence and requires increased use of judgment and discretion.

Primary duties may include, but are not limited to:

  • Serves as resource for lower-leveled contractors/consultants.

  • May work on cross-functional projects requiring collaboration with other key areas.

  • May collaborate with leadership team in representing organization at conferences.

  • Serves as a communication link between professional providers and the company.

  • Assists in conducting gap analysis as required.

  • Requires a BA/BS degree

  • 3-5 years experience in contracting, provider relation; or any combination of education and experience, which would provide an equivalent background.

  • Intermediate level of Microsoft Office including Outlook, Word and Excel required.

  • Experience with specialty products including LTSS, BH and IDD preferred.

  • Requires travel (25%.)

/ Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 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 Provider Network Management

Title: Provider Network Manager II - #128665

Location: KY-Louisville

Requisition ID: 128665