Provider Network Manager II/Provider Network Manager Senior

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.

Develops the provider network through contract negotiations, relationship development, and servicing.

Primary focus of this role is contracting and negotiating contract terms.

Typically works with more complex providers at least 50% of the time.

Complex providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required.

Contracts may involve non-standard arrangements that require a moderate level of negotiation skills.

Fee schedules can be customized.

Works with increased independence and requires increased use of judgment and discretion.

Travel up to 25%.

Primary duties may include, but are not limited to:
Serves as resource for lower-leveled consultants.

May work on cross-functional projects requiring collaboration with other key areas.

May collaborate with sales team in making presentations to employer groups.

Serves as a communication link between professional providers and the company.

Conducts more complex negotiations and drafts documents.

Assists in preparing financial projections and conducting analysis as required.

Develops the provider network through contract negotiations, relationship development, and servicing.

Primary focus of this role is contracting and negotiating contract terms.

Typically works with the most complex providers at least 50% of the time.

Complex providers may include, but are not limited to institutional providers, large medical groups and 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. Travel up to 25%.

Primary duties may include, but are not limited to:
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 projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management.

May collaborate with sales team in making presentations to employer groups.

Serves as a communication link between professional providers and the company.

Conducts more complex negotiations and drafts documents.

May prepare financial projections and conduct analysis.

Qualifications

Requires a BA/BS degree; 3-5 years experience in contracting, provider relations, provider servicing; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:
Experience with commercial and government business.

Requires a BA/BS degree; 5-7 years experience in contracting, provider relations, provider servicing; experience should include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:
Experience with commercial and government business.

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.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem.

Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem.

Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.

EEO is the Law
EqualOpportunityEmployer/Disablity/Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

Anthem, Inc.

is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs.

If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.

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Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company.

If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the ‘Rip-offs and Imposter Scams’ option.

Anthem requires a completed online application for consideration of employment for any position.

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