Manager I, Provider Network Management/Relations
Company: Anthem, Inc.
Location: Omaha
Posted on: February 23, 2021
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Job Description:
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Job Family: Provider Network Management
Req #: PS41144
Date Posted: Feb 9, 2021 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 care
companies and a Fortune Top 50 Company. Office Location: Omaha, NE
- Due to the current COVID-19 (coronavirus) pandemic, this position
will require you to work remotely from your home with the
expectation to return to a regular, in-office work environment
listed in this posting. The Manager I, Provider Network
Management/Relations role is responsible for developing and
expanding physician, physician group, IPA, hospital and ancillary
networks and managing the functions relating to provider servicing,
provider education, and network development.-- Primary duties may
include, but are not limited to:-- Coordinates the management and
growth of the hospital relations program or ancillary networks;
monitors and resolves hospital or ancillary network concerns and
issues.-- Manages advocacy/education process with hospitals and
ancillary networks.-- Develops and implements processes that ensure
hospitals and ancillary providers claims are paid accurately,
timely, and on first submission.-- Monitors team activities to
assure that staff meets performance standards and is operating
effectively and efficiently; resolves escalated claims/operations
issues.-- Evaluates the provider network to ensure appropriate
access for membership and develops/executes recruitment plans.--
Manages the provider complaint and Provider Relations databases;
develops and implements action plans regarding provider
satisfaction results.-- Hires, trains, coaches, counsels, and
evaluates performance of direct reports.-- Qualifications Requires
a BA/BS in Business Administration, Healthcare Administration, or a
related field; 5 years of experience in a healthcare environment,
preferably managed care, with 1+ years of leadership/management
experience, including experience in network development, analysis,
and contracting; or 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. 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 ability@icareerhelp.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., Omaha , Manager I, Provider Network Management/Relations, Executive , Omaha, Nebraska
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