Anthem, Inc. Payment Innovation Strategy Director - Medicare in Richmond, Virginia
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.
Payment Innovation Strategy Director - Medicare
Responsible for leading the advancement of value-based payment arrangements for our Medicare business segment. This position will oversee, create, identify and lead profit and growth initiatives that yield positive membership growth and positive operating gains as measured in the annual goals. Primary focus will be creation and collaboration on value-based program designs and other strategies to meet VBS, Regional, Local Market and Anthem Enterprise business objectives.
Primary duties to include, but are not limited to:
Lead the advancement of value-based arrangements within out Medicare lines of business to progress providers along risk continuum to accelerate value, increase quality and improve member and provider experiences.
Design, create, manage and facilitate strategic planning in coordination and collaboration with multiple matrix partners.
Investigate and identify existing programs that should be implemented in alignment with VBS strategic direction; as well as partner with stakeholders to provide requirements, program changes and get adoption scheduled.
Align payment models and incentives to achieve Anthem’s value-based objectives.
Responsible for payment model strategy as it pertains to Medicare products
Collaborate and coordinate work with other departments within the business unit, and many matrix partners within the company, including but not limited to Regional Leadership for line of business, Local Market Leadership for line of business, Provider Solutions, Finance, Actuarial, IT, Health Care Economics and HCM.
Reports various results through various venues as well as to the leadership team.
Requires a BA/BS degree in a related field and a minimum of 10-15 years of leadership/management experience in health care management, marketing products, and managing significant business results; or any combination of education and experience, which would provide an equivalent background.
3 or more years of experience with Medicare payment strategies
Excellent quantitative, marketing, financial, and strategic skills
Master’s or other advanced degree
Previous P&L and/or project management experience in health care setting.
Travel up to 10%
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 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. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact email@example.com for assistance.