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Provider Collaboration Manager

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Job Details
Job Order Number
JC166609278
Company Name
Anthem, Inc
Physical Address

South Portland, ME 04116
Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your
Talent. Our Vision. At National Government Services (NGS),
an independent subsidiary of Anthem, Inc. and one of the largest Medicare
contractors in the country, it’s a powerful combination.
It’s 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.

Provider
Collaboration Manager will receive a moderate level of guidance and direction
in providing operational and administrative support for the implementation,
auditing and resolution of loading issues for payment innovation programs.
Primary duties may include, but are not limited to:

+ Provides support for assigned provider contracts.

+ Obtains and analyzes financial performance and quality metrics.

+ Support and facilitates value based JOCs (Joint Operating Committee meetings).

+ Develops and maintains contact database and disseminates communications to providers as necessary.

+ Aggregate and analyze provider data form various sources to recommend and implement solutions to assist with provider collaboration activities.

+ Collaborates with provider contractors and network relations reps to meet provider service needs.

+ Encourages providers to act on patient outreach opportunities.

+ Continues to build knowledge of the organization, processes and customers.

+ Performs a range of mainly straightforward assignments.

Qualifications

+ Requires a BA/BS degree; 3 years’ experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.

+ Provider environment experience preferred.

+ NGS/CMS experience it a plus.

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.

REQNUMBER: PS38127-US


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