Anthem, Inc. Manager II Network Relations in Hingham, Massachusetts
SHIFT: Day Job
Be part of an extraordinary team: We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Build the Possibilities. Make an extraordinary impact: Manages the development and maintenance of the physician and provider delivery system.
How you will make an impact: • Primary duties may include, but are not limited to: Manages the communication and complaint resolution processes between physicians, hospitals, members, and the public. Manages the workflow of the provider relations area. • Has budget accountability. • Acts as a liaison to ensure that all groups are effectively informed. Hires, trains, coaches, counsels, and evaluates performance of direct reports • Effectively lead the Provider Relations team as evidenced by provider, internal customer and client satisfaction, compliance with internal, client, regulatory and accreditation standards, successful audits, and employee satisfaction and engagement. • Direct provider relations staff to assure day-to-day activities are performed effectively and support the Region’s network strategy, including meeting financial targets. • In collaboration with Network Management Leadership, execute on a process improvement strategy which identifies provider satisfaction impacts and root cause of issues to achieve shorter provider inquiry response times, improved employee engagement, and higher provider satisfaction. • Serve as the network escalation point for Regional Leadership on provider relations issues. • Support and participate in the Network Management Department’s process improvement and transformational initiatives to drive completion and successful outcomes. • Develop strong provider relationships built on trust and collaboration. • Oversee coordination of practitioner and facility orientation and training. • Collaborate with the Quality and Legal Departments to perform complaint and grievance resolution and communication. • Contribute to provider communications such as newsletters, provider manual, mailings, and training. • Meet or exceed administrative budget targets. • Act as liaison and maintain productive working relationships with all Beacon departments. • Hire, manage and develop a high-performing team. • Other duties as assigned.
Minimum Requirements: • Requires a BA/BS degree in business or related health field and a minimum of 5 years provider relations/senior provider relations experience; or any combination of education and experience, which would provide an equivalent background.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.
Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact firstname.lastname@example.org for assistance
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