Anthem, Inc. Provider Network Mgr Sr- National Contracting in Columbia, South Carolina
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.
This position will allow remote work provided the selected candidate is within 30 of an Anthem Office
This is not a people leader role but will operate as an individual contributor without direct reports
Responsible for developing the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. This level typically works with the most complex
providers at least 50% of the time. Complex providers may include, but are not limited to institutional providers, professional providers with complex contracts, medical groups, ancillary providers, providers in areas with strong competition or where greater provider education around managed care concepts is required.
Contracts involve non-standard arrangements that require a high level of negotiation skills.
Fee schedules are often customized.
Serves as key resource for other contracting staff and provides mentoring and on-the-job training and development.
May serve as lead over a contracting team engaged in less complex negotiations. Works independently and requires high level of judgment and discretion.
May work on cross-functional projects requiring collaboration with other key areas or serve on enterprise projects around network management as needed.
May collaborate with sales team in making presentations to employer groups.
Essential duties may include, but are not limited to:
Serves as a communication link between providers and the company.
Conducts more complex negotiations and drafts documents.
May prepare financial projections and conduct analysis as required.
Requires BA/BS and 5-7 years experience in contracting, provider relations with an emphasis on National contracting, provider servicing or any combination of education and experience that would afford equivalent competencies.
National contracting experience preferred.
Experience should include prior contracting experience.
Must have exceptional oral and written communication skills.
Must have strong analytical skills.
Must demonstrate leadership skills.
Requires some travel.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 Diversity Inc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.