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Care Management Integration Director - Cerritos, CA - #PS11250

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Business Development/Planning
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PS11250 Requisition #
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Your Talent. Our Vision.  At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, 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.

 

 

 

Location:  Cerritos, CA

 

 

 

Care Management Integration Director

 

 

This position will be a crucial member of the implementation leadership team and serve as an expert in the build out of initial market Care Management programs and services as well as serve as a liaison to local the market leadership. Additionally, this role will provide Care Management subject matter expertise in the design and deployment of ongoing product implementations. This role will be part of the Care Management Leadership team but day to day work will be in partnership with the activities and goals of the implementation team.   

 

Core Competencies

  • Roll-up your sleeves attitude and ability to work in a start-up environment, including the ability to lead within ambiguous settings; strong team building, leadership, and communication skills; internal motivation and drive; and track record of delivering results
  • A collaborative team member and effective communicator
  • Organized and process-oriented, with desire and ability to own projects from start to finish
  • Passion for project management and implementation activities

 

Essential Duties and Responsibilities

  • Serves as Care Management Subject Matter Expert for Implementation team, appropriately translating Care Management  needs and considerations to implementation activities
  • Identifies impacted parties, business partners, and resources required to improve operational practices
  • Works closely with Implementation team to scope new market and new product implementations; understands impact on Care Management
  • Partners with market teams to adapt implementations to market dynamics
  • Collaborates closely with the regional Care Management teams to understand roles and responsibilities of Care Management programs and services
  • Develops and designs processes and systems that support business needs, leveraging industry best practices
  • Assists with new market launches, particularly in set up of daily operations of a large clinical enterprise caring for complex patients
  • Works with Care Management team to develop compliance, quality, and operational standards and takes responsibility for market implementation
  • Executes handoffs of Care Management  implementations to local market teams and regional Care Management leadership
  • Highly organized and able to build structure for others; passion for operational excellence and continuous improvement to enhance efficiency and effectiveness of front-line teams and patient care
  • Leads initiatives to achieve operational excellence across clinical and non-clinical areas

 

 

 

  • BA/BS degree; Master’s preferred (MBA/MPH/MPP/MHA)
  • 8-10 year experience in Care Management program development and oversight within a managed care environment
  • or any combination of education and experience which would provide an equivalent background to support

 

 

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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