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

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Provider Network Management
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PS12595 Requisition #
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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  

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Your education. Our inspiration.

This is a brilliant combination. This is where people united with passion and a purpose can make a huge impact. This is Anthem, where innovation is the force that will drive the future of health care.

So what drives you? If it’s the desire to build a career where the work you do affects millions, you’re in the right place. Take what you’ve learned to the next level, combine your knowledge with our experience, expertise and resources; and start changing peoples’ lives.

Anthem is one of Fortune magazine’s Most Admired Companies, has a wealth of opportunities for students and graduates who are ready to make a difference.

Find An Internship

Student Programs

Ready to build a career where you make a difference and impact millions of lives? Review our undergraduate and graduate internship programs where you can combine your knowledge, experience and expertise in a growing industry.

Build your career, or even start it through our undergraduate and graduate internships that help us identify future leaders. We’re transforming our industry and here’s the chance to be a part of it.

 

Your Questions, Answered

You have to be at least 18 years of age (unless part of an approved/sponsored program) and currently enrolled in an accredited US college or university. For actuarial students, sitting for or having at least one exam completed by the time your interview is an advantage.

Visit our main page and search internships – apply via APPLY link on the specific opportunity.

We offer internships that are 3 months, 6 months and part-time during the school year. Our opportunities are based on business needs and student availability.

We are delighted to get to know you! Our team participates in various on-campus events throughout the year and from time to time hosts meetings in our offices. The fastest way to see where you stand in the application process is to log into our system to check your status.

Because internships are temporary positions, the only benefits offered at this time are access to our onsite fitness facilities, and the ability to contribute to a 401k. We do, however, offer opportunities to get connected, and be mentored through our various ARGs (Associate Resource Groups).