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Provider Network Management
PS3186 Requisition #
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Your Talent. Our Vision. At Anthem, Inc., the Government Business Division is focused on serving Medicaid, Medicare and uninsured individuals. Our commitment and focus on government health programs is the foundation upon which we’re creating better care for our members, greater value for our customers and better health for our communities. Join us and together we will drive the future of health care.
Join one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the Minnesota Medicaid Program.

Contract Optimization Advisor Senior - Eagan, MN PS 3186
Work Location: Eagan, MN

Serves as a team lead responsible for facilitating provider innovation for assigned provider contracts by influencing providers to change office practices resulting in cost of care savings and improved health outcomes for patients. 

Primary duties may include, but are not limited to: 
• Obtains and analyzes quality metrics, creates reports, and identifies action plans. 
• Collaborates with provider contractors and network relations reps to meet provider service needs. 
• Persuades providers to act on patient outreach opportunities. 
• May attend provider meetings and support Provider Relations Representatives.
• Requires a BA/BS; 5 years health care experience; or any combination of education and experience, which would provide an equivalent background. 
• Excellent oral and written communication skills and presentation skills.
• Project management skills.
• Proficient with MS Office (Word, Excel, Powerpoint, and Outlook).

• Medicare/Medicaid Reimbursement Methodology 
• Provider environment experience.
• Managed Care industry experience.
• Knowledge of Medicaid Network Contracting, Relations or Engagement preferred.
• Ability to work in high matrix environment.
• Experience in Strategic Planning
• LTSS knowledge/experience

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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As one of America’s largest health benefits companies, we at Anthem have a profound appreciation for service. Our organization proudly supports our nation’s active, reserve and veteran military service members and their spouses.

This is an exciting opportunity to advance your life and career, while still protecting and serving others. Come see for yourself why Anthem is recognized as a Top Employer by GI Jobs and among the “Best of the Best: Top Veteran Friendly Companies” by US Veterans Magazine.

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