Anthem, Inc. Provider Network Mgr II- Laboratory Contracting in Austin, Texas
SHIFT: Day Job
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.
This is not a people leader role but will operate as an individual contributor without direct reports.
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.
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.
Requires a BA/BS degree; 3-5 years experience in contracting, provider relations with an emphasis on labratory contracting, provider servicing; or any combination of education and experience, which would provide an equivalent background.
Laboratory contracting experience preferred. 3-5 years with various reimbursement models such as fee for service through capitation. Experience should include prior contracting experience. Must have exceptional oral and written communication skills. Must have strong analytical skills. Must demonstrate leadership skills. Requires some travel.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.
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