Vacancy expired!
Description SHIFT: Day JobSCHEDULE: Full-timePosition: Provider Network Manager Location: 60% Remote 40% Travel (must be able to report at Anthem location in South Portland Maine 2 times a week) Be part of an extraordinary team We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact? Build the Possibilities. Make an extraordinary impact. Participates in and may lead less complex contract administration initiatives for creating and managing contract templates used across the enterprise. Ensures consistency and compliance with legislative and regulatory requirements as well as to maximize operational efficiency and provider relationships. Serves as subject matter expert for contract language, developing contract language tools and solutions for the provider contracting staff. Primary duties may include, but are not limited to: Creates common contract templates and language variations for provider groups.
Works closely with Legal and provider contracting management to ensure that contracts meet all federal, state and regulatory requirements as well as operational efficiencies and other high value business needs.
Leads the development of optimal language changes and use of alternative or exception language approved for specific uses.
Serves as subject matter expert around contract language in response to RFPs, audits, and legal clarifications.
Makes recommendations to contract modifications and presents to governing committee for approval.
Works with contract negotiators to identify best practice solutions to contract needs and helps educate contract negotiators on contract language impacts.
Serves as a key contributor in the development and implementation of enterprise contract management/administration strategies, processes and systems.
Leads reviews to ensure that contract terms and language can be implemented efficiently. Researches and quantifies impact to contract modifications.
Develops and maintains tracking documents for contract renewals.
Other projects and duties as assigned
Qualifications Minimum Requirements: Requires a BS/BA degree in related field and a minimum of 5 years business and professional experience in contracting, provider relations, and provider servicing; or any combination of education and experience, which would provide an equivalent background.
Masters degree strongly preferred.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
REQNUMBER: PS74942
Vacancy expired!