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Reporting & Data Analysis
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PS22691 Requisition #
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 at one of America's leading health benefits companies and a Fortune Top 50 Company.

Provider Contract/CofC Consultant Sr.
Provides the highest level of analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Leads large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process. Works with multiple provider types including the most complex, high profile providers. Supports a full range of contract arrangements and pricing mechanisms including the most complex contract terms. Works on the most complex, large scale enterprise wide initiatives and acts as project lead. Acts as a strategic partner to management. 

Primary duties may include, but are not limited to: 
Uses analytic tools to: track both health risks and compliance, as well as supporting the contract negotiation process. 
Types of analyses include performing sophisticated retrospective data analytics; developing the most complex new models and modifies existing models to create predictive impact decision making tools; performing healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; preparing complex pre-negotiation analyses to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if'; measuring and evaluating the cost impact of various negotiation; researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; and projects different cost of savings targets based upon various analytics. Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings. 
Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable. 
Recommends standardized practices to optimize cost of care. Educates provider contractors on contracting analytics from a financial impact perspective. 
May recommend alternative contract language and may go on-site to provider premises during contract negotiations. 
Researches providers financial profitability/stability and competitive environment to determine impact of proposed rates. 
Communicates fee strategies to manage provider expectations. Provides on-going analytic and consultative support during complex and the most intense provider negotiations. 
Educates provider contractors on contracting analytics from a financial impact perspective. May recommend alternative contract language. 
May go on-site to provider premises during contract negotiations. 
Acts as a source of direction, training and guidance for less experienced staff. 
Looks for continuous quality improvements and finds better ways to accomplish end results. 
Works side by side with their manager. 

This position will allow you to work at Any Anthem location listed below: (No Relocation assistance is available)
220 Virginia Avenue Indianapolis, Indiana 
4425 Corporation Way, Virginia Beach VA 
4170 Ashford Dunwoody Rd Atlanta , GA 
4361 Irwin Simpson Road (Bldg. I) Mason, Ohio

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.
Requires 
BA/BS degree in Mathematics, Statistics or related field; 
7+ years experience in broad-based analytical, managed care payor or provider environment. 
or any combination of education and experience, which would provide an equivalent background. 
Experience providing leadership in evaluating and analyzing complex initiatives required. 
Strong Microsoft Excel experience
Healthcare Experience.

Preferred
Master's degree 
Medicaid Experience
Experience with SQL or Teradata


AnEqualOpportunityEmployer/Disability/Veteran

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Supplier Registration Process

Anthem, Inc.'s supplier registration process will automatically enter your information into our prospective supplier database.

Anthem does not do business with persons or entities identified on the General Services Administration's List of Parties Excluded from Federal Programs and the HHS\OIG List of Excluded Individuals\Entities.

Anthem, Inc. Purchase Order Terms

Anthem's standard payment terms are net 50. Payment terms will be calculated from the invoice date, which should also reflect the date goods or services were received.

Anthem also offers various discount options that provide you with the opportunity for early payment and we are also encouraging our suppliers to participate in our electronic funds transfer (EFT) method of payment. The EFT method of payment will improve the efficiency of our payment processes and ensure that you are paid properly and on time.

Anthem, Inc. Supplier Registration Process

*Please Note: To complete the supplier registration process, you will leave antheminc.com and will be directed to the Ariba Network (AN) site. Once there please click on Register as New Supplier to complete the online registration form and follow the on-screen instructions.

Supplier Registration

Anthem, Inc. utilizes the Ariba Network to determine qualified suppliers that meet Anthem’s business need. Prospective suppliers should complete Ariba’s Supplier Registration Process.*

*Please Note: To complete the supplier registration process, you will leave antheminc.com and enter the Ariba Network (AN) site. Once there, please click on 'Register as New Supplier' on the left-hand side of the screen, complete the online registration form and follow the on-screen instructions.

Anthem does not do business with persons or entities identified on the General Services Administration's List of Parties Excluded from Federal Programs and the HHS\OIG List of Excluded Individuals\Entities.

What to expect next after registration

Anthem Inc.'s Procurement department will review your registration and additional materials. If our sourcing needs align with your goods or services, an Anthem Buyer will contact you to discuss next steps and other pertinent details. If there is no current need, your information will remain in our prospective supplier database for one year for processing against future requests.

Supporting Documents

Guidelines for Prospective Suppliers (PDF)

Company Policy and Procedures (PDF)

To obtain a copy of Anthem's Supplier Travel Guidelines, please send an email to TravelPoint@anthem.com.