Manager I, Provider Network Management/Relations

Company: Anthem, Inc.
Location: Omaha
Posted on: February 23, 2021

Job Description:

Welcome to the Anthem Careers site! We have been hard at work to improve our job search and application systems to better serve you. It is now easier to find and apply for relevant jobs as well as stay connected with Anthem. Here are a few of the updates you may notice:

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• NEW! Didn't find a job that is right for you? Join a Talent Network to stay informed on news and job opportunities with the Anthem Team! It is important that you apply using an email address which is unique to you and not shared with a friend, relative, spouse, or significant other. Our recruiting system uses your email address as your unique identifier. If you apply with a shared email address, your application will overwrite any previous applicant record with the same email address. Additionally, please ensure that you use a valid email address, free from typos, as there are a variety of communications which may be sent to the email address with which you apply Manager I, Provider Network Management/Relations Location: Omaha, NE
  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.

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