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Provider Network Management Director - Los Angeles, CA Required (May Work from Home) - PS16572

Provider Network Management
PS16572 Requisition #
Thanks for your interest in the Provider Network Management Director - Los Angeles, CA Required (May Work from Home) - PS16572 position. Unfortunately this position has been closed but you can search our 810 open jobs by clicking here.
  • Requires a BA/BS degree and 8-10 years’ experience in contracting, provider relations, provider servicing; experience must include at least 4 years of contracting experience with hospitals and/or capitated physician groups
    • Or any combination of education and experience, which would provide an equivalent background.
  • Requires travel 25% statewide
  • Familiar with CA managed care provider market strongly preferred
  • Familiar with Medicaid managed care
  • Familiar with capitated or risk contracting
  • Good written and verbal communication
  • Quantitative skills for advanced contracting and negotiation experience required
  • Must live in or within driving distance from Los Angeles, California
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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Health Care Analytics

The Health Care Analytics (HCA) team focuses on transforming the way data is used within the health care industry. They provide strategic analysis that impacts business decisions, improves efficiency and drives innovation.

As we expand our technology and analytics capabilities, we are searching for associates that have a passion for analytics and the drive to pave the way in a growing industry.

Career opportunities are available in the following areas:

  • Strategy and planning: Ensures strategic alignment between HCA projects and the organization's broader goals. Also integrates analytics strategy into the execution process, including program management, project controls, communications and vendor oversight.
  • Operations: This department houses the HCA shared-services functions including project financial controls and estimations, demand management, user acceptance testing, and coordination and release management.
  • Customer management analytics: Provides accurate, timely and reliable delivery of client reports, which include data analyses, insights and other information that demonstrates Anthem’s value as a business partner.
  • Financial management analytics: Works closely with HCA leaders and other Anthem management to provide support to the finance and accounting teams through financial reporting systems.
  • Member management analytics: This team is responsible for the risk adjustment program and analytics, the member management program, predictive analytics and member management analytic products management.
  • Provider management analytics: Manages Anthem’s unit cost trend, provider contract modeling, network profiling, payment innovation analytic solutions, and other analytics that enable provider collaboration strategies.
  • Research, development and transformational analytics: Works with senior leaders to manage implementations, new product development and provides acquisition support.

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