🌎
This job posting isn't available in all website languages

Network Management Consult - PS 12595 (Atlanta GA - Metro location)

📁
Provider Network Management
📅
PS12595 Requisition #
Apply for Job
Recommend to a Friend
Sign Up for Job Alerts
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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 benefits companies and a Fortune Top 50 Company.

 

Provides provider relations/network management consulting support to complex, high profile provider organizations. Serves as technical resource and mentor to other consultants.

 

Primary duties may include, but are not limited to:

 

  • Develops network recruitment and retention strategies to ensure the retention and maintenance of high quality contracted providers.
  • Conducts negotiations and leads contracting efforts with complex, high profile provider organizations to build and maintain a cost effective, accessible provider network.
  • Identifies, researches and analyzes economic and professional provider practice patterns to develop recommendations for improvements.
  • Consults with, educates and trains providers on innovative alternative reimbursement programs.
  • Conducts seminars to support the understanding of managed care and BCBS policies and procedures.
  • Participates in network expansion efforts to recruit new physician specialties or large physician groups.
  • Researches, analyzes and recommends resolution for contract and reimbursement disputes, non-routine claim issues, billing questions and other practices.
    AnEqualOpportunityEmployer/Disability/Veteran

Requires a BA/BS degree; 3-5 years experience in provider network management, utilization management or other health care field; or any combination of education and experience, which would provide an equivalent background. 

Proficient in Microsoft office products,   strong Excel, Word and Outlook.

Position may require some travel to various provider office locations approximately 20%.   

This is an on-site position located at: 

4170 Ashford Dunwoody Rd, Ste 100, Atlanta, GA  30319

Atlanta (Metro), GA.    Remote (2-3) days per week may be option six months after hire.  

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran  

Previous Job Searches

Activity Feed

19767
Job shares through Anthem, Inc.
Someone applied to the Dir Medicaid Plan Marketing position. Less than a minute ago
Someone applied to the Business Consultant/Business Analyst II/III - Remote position as a result of Tammy McCoy's referral. Less than a minute ago
Someone applied to the Process Improvement Analyst- Medicare- REMOTE (All Anthem locations)- PS9634 position. Less than a minute ago
Someone applied to the Provider Reimburse Admin - #PS 13151 (Any Anthem location or remote) position. Less than a minute ago

Your Skills.
 Our Opportunities

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.

Find A Career

Skills Translator

Enter your Military Occupation Code (MOC) or military or civilian title into our Military Skills Translator tool to see related openings at Anthem for an improved experience locating careers that maximize your military skills

Use Translator