Mason, Ohio

Description

SHIFT: Day Job

SCHEDULE: Full-time

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. 

 

Senior Director, Digital Operations (National Accounts Claims)

*This position can be located within a 50-mile radius of an Anthem office.

The Senior Director, Digital Operations, will oversee the combined digital and operations units and will execute strategies to deliver industry leading digitized service results. This position will serve as a leader across departmental lines in order to further the penetration of operational digitization, E2E efficiencies, lowered administrative costs and will offer an excellent member and provider experience.

Primary duties to include, but are not limited to:  

  • Enables effective achievement of digital operations organizational objectives, in particular claims operations for National Accounts customers.
  • Participates with peers and digital operations leadership to deliver on strategic plans and objectives.
  • Leads overall strategic work streams for transformational priorities which requires significant accountability and management of numerous special projects.
  • Plans, directs, and controls the resources and efforts of a unit(s) within a blended Digital Operations organization.
  • Executes objectives of the company and the blended Digital Ops organization.
  • Responsible & accountable for implementation / management of digitization initiatives that demonstrates understanding of current and future operational business processes that digitization does/can enable.
  • Ensure claim inventories are maintained at optimal levels, claims are processed with high quality to ensure attainment of Member Touchpoint Measures (MTM), National Payer (NP) and Performance Guarantees (PGs) goals.
  • Obtains resources (people, funding, material, support) to get things accomplished within units of responsibility.
  • Ensures compliance with state and federal regulations.
  • Oversees strategic planning, budget development, and management for a single large or multiple cost centers, contract compliance, and any necessary integration of government regulatory requirements.
  • Manages an enterprise suite of applications by developing digitization forecast and delivery plan.
  • Ensures disaster recovery and business continuity plan are implemented, monitored, and updated on a recurring basis.
  • Delivers operational guidance and offers system solutions that support the operations of their functional areas on a 24x7x365 basis.
  • Plans and executes annual projects while maintaining profit and loss (P&L) responsibility.
  • Hires, trains, coaches and evaluates performance of direct reports.
  • Provides leadership in motivating subordinates to accomplish the Digital Ops organization goals and objectives.
  • Develops a strong team through training and effective organizational development practices. Implements the policies, practices, and procedures of the company and blended digital and operations organizations.
  • Manages direction of information system and programming activities of technical staff.
  • Leveraging reporting and analytics tools, continually monitors procedures and operational metrics to ensure these are met by staff.
  • Manages across geographically diverse associates and vendor partners. (Staff is typically located in multiple sites and/or states and utilizes multiple systems).
  • Has fiscal responsibility for unit budget.
  • Builds strong partnerships with market and digital leads, Benefits Administration, Provider Engagement and Contracting, Sales and Internal Audit.
  • Effectively adjusts communications depending upon audience; translates technical and/or business issues in non-technical/non-jargon terms to non-technical or executive audiences.
  • Effectively consults, facilitates, negotiates and persuades.
  • Effectively interfaces with external contacts, e.g. customers and agencies.
  • Negotiates the resolution of intra-organizational issues in the balanced best interests of the business.

Qualifications

 

  • Requires a BA/BS in Information Technology or Business Administration, 8+ years of experience leading technology (application development, configuration, maintenance or implementation and support) teams and/or cross functional project (technology and operations) teams; or any combination of education and experience which would provide an equivalent background.
  • Requires 7 years' management experience.
  • Broad understanding of a major corporate IT function.
  • Health insurance industry experience preferred. 
  • Position requires significant experience with external contact of customers or/and agencies.

 

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.

Mason, Ohio

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.

How to Win An Interview

1.     Review the job description for the specific position you are applying for.

2.     Review the company website. Know their mission and values. What do they do? What are their products?

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

4.     Prepare to discuss your military or civilian background and how it relates to the position. 

5.     Check out our Resources tab for resume guidance, interview prep and more!

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