Anthem Solutions Mgmt Manager - Nationwide (DC Area Preferred) - Remote Work Available - PS7289 in Denver, Colorado

Solutions Mgmt Manager - Nationwide (DC Area Preferred) - Remote Work Available - PS7289


Location: United States

Field: Business Support

Requisition #: PS7289

Post Date: 6 days ago

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 atone of America's leading health benefits companies and a Fortune Top 50 Company.

Responsible for leading the planning and implementation of payment innovation products, benefits and services for a new network product linked to a high value network solution that focuses on value based insurance design. Serves as the single point of contact and subject matter expert on all aspects of planning, implementing and managing day to day operational, technical and business partner interactions for implementation and execution of new products. Works together with Product Development to consult on enhancements to existing products and development of new solutions including value based insurance design based on analytics.

Primary duties include, but are not limited to:

Provides consultation and advice to business partners regarding benefits of products and analytics.

Explains timelines and measures of success for implementing these products. Coordinates with the Physician Liaison regarding issues related to benefit design, customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses.

Schedules and coordinates implementation of contracted products and services for assigned business partners.

Coordinates data requirements, production schedules and deliverables with the business partner.

Oversees all business partner specifications and/or modifications for contracted products and services.

Provides business partners with the resources, training and services necessary to effectively utilize the products that the department provides.

Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance. Maintains detailed knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner.

Leads department projects and mentors solutions management staff.

  • Requires a BA/BS degree and 5-7 years of experience in a related field, 2-3 years experience in solutions management; or an equivalent combination of education and experience required.

  • Some knowledge of performance based contracting and value based insurance design preferred.

  • Graduate degree and/or professional designation related to field preferred.

  • Project management experience preferred.An Equal Opportunity Employer/Disability/Veteran

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.