Manchester, New Hampshire

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Anthem Blue Cross and Blue Shield, a proud member of the Anthem, Inc. family of companies,  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.  

RVP Provider Solutions (New Hampshire Market)
Location:  Within commuting distance to Manchester, NH

The incumbent will be responsible for strategic leadership of the provider network for the State of New Hampshire, including creating and executing network strategies to serve commercial and Medicare lines of business, cultivating key relationships, contracting providers through fee-for-service and value based payment arrangements, developing and implementing cost of care and trend management plans, and overseeing the implementation of enterprise network policies.

Key Responsibilities:

•    Developing provider network strategies to convey a competitive advantage. 
•    Aligning strategies with enterprise goals
•    Facilitating network aspects of products for all segments, including but not limited to broad and narrow network commercial and Medicare solutions, PSPs, and other specialized networks.
•    Delivering competitive cost of care in New Hampshire. 

•    Achieving for each line of business:

           - Network cost of care goals

           - Unit price trend and rate relativity targets 

           - State and enterprise Value Based Care objectives

•    Integrating quality metrics and incentives into provider agreements. 
•    Collaborating with Clinical and Quality on capture of medical record and other data and implementation of medical, pharmacy and other related policies
•    Collaborating with Product Development to recommend and implement innovative benefit plan designs. 
•    Working with Provider Experience, Provider Data, Provider Issues Resolution and other departments to ensure proper implementation of provider contracts and resolution of issues as they may occur.
•    Leveraging information available through Health Economics, Payment Integrity and other sources to inform data driven contracts and programs
•    Serving as Provider Solutions local point of accountability for all product lines.
•    Ensuring compliance with regulatory and accreditation standards. 
•    Attracting and hiring talent to the market
•    Training, developing, and evaluating performance of staff

The successful candidate will possess strong leadership skills and will be effective in establishing a collaborative relationship with the New Hampshire Commercial and Medicare leadership.

Reports to                         VP Network
Staff                                   Direct Reports:  10
Other key relationships     Health Plan Market Leaders
                                          Provider Experience
                                          Health Economics
                                          Claims Operations
                                          Cost of Care 

 

Qualifications

This role requires a BS/BA in business administration or related healthcare field; 8+ years of experience in healthcare operations, finance, underwriting, actuary, network development and/or sales; or any combination of education and experience, which would provide an equivalent background. Masters preferred.

•    Demonstrated leadership skills and experience.
•    Current knowledge of healthcare delivery and managed care.
•    Strong business acumen, financial and organizational knowledge.
•    Strong written and communication skills. 
•    Ability to engage and influence senior level contacts.
•    Track record of building relationships with key stakeholders.
•    Knowledge of New Hampshire regulatory and provider environment a plus.

Attributes
•    Visionary Leader
•    Strategic Thinker
•    Strong Collaborator/Relationship Focused
•    Results Oriented
•    End-to-End Influencer
•    Inspiring Developer of Talent

 

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.

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

Manchester, New Hampshire

As one of America’s largest health benefits companies, we at Anthem have a profound appreciation for service. Our organization proudly supports our Nation’s active, reserve, and veteran military service members and their spouses.

This is an exciting opportunity to advance your life and career, while still protecting and serving others. Come see for yourself why Anthem is recognized as a Top Employer by GI Jobs and among the “Best of the Best: Top Veteran Friendly Companies” by US Veterans Magazine.

Who We Are Looking For 

Anthem, Inc. is seeking military veterans across the country who bring a deeply rooted skillset that includes team-oriented approaches to problem-solving, demonstrations of leadership and an overall commitment to the mission of the organization.  If you are a military veteran or military veteran spouse, Anthem, Inc. is looking to hire you.

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military

Should I Apply?

Are you a transitioning member of the military or a military veteran who is looking for a civilian career that provides opportunities for growth and career advancement?  Anthem, Inc. is currently looking for job seekers with  Operations experience.  If you are interested in a career in one of these fields, check out our current open positions to the right for more information and to apply today!

What Happens After I Apply?

Once you click ‘Apply Now’ on an Anthem, Inc. job posting, you will be re-directed to fill out an application on Anthem's career page.  In order to be considered for next steps, please complete the application on Anthem's career page and make sure you have an updated resume uploaded to your RecruitMilitary profile.  Once Anthem, Inc. reviews your resume and profile, a recruiter will reach out to provide you with more information and to schedule you for an interview.

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3.     Prepare a few questions to ask on your interview.

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