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Associate General Manager in Brooklyn, NY at Anthem, Inc.

Date Posted: 7/12/2018

Job Snapshot

Job Description

General Manager/Associate General Manager

What Is CareMore?
CareMore is entering a new growth phase, as a proven care delivery model for the highest-risk.  We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.  We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients and currently serve over 150,000 patients in eight states across Medicare, Medicaid, and commercial populations.  We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.

CareMore’s Primary Care & Collaboration division oversees strategy, operations, and care delivery in our primary care markets (Iowa, Tennessee, Connecticut), where CareMore builds and runs capitated primary care medical groups and currently serves over 22,000 high-risk Medicaid and Medicare patients, as well as our collaboration with Emory Health System, which brings the CareMore model to over 20,000 Medicare Advantage patients in Georgia.  The division also supports the development of new markets and models in the Primary Care & Collaboration area, including multiple new markets planned in 2018 and 2019. Our comprehensive approach to care includes extensivists managing acute and post-acute episodes of care, primary care clinicians, behavioral health clinicians, care management & engagement with case managers and community health workers, and mobile home-based care. We are continuing to evolve our model to effectively engage and care for complex patients and are building a team of passionate and execution-minded leaders dedicated to this mission.

You can learn more about CareMore’s transformative approach to care here:

The Associate General Manager / General Manager will serve as the business & operational leader for a new market in CareMore’s Primary Care & Collaboration area and is responsible for leading CareMore’s local market business and clinical operations to successfully deliver on organization and market goals, including operational excellence, financial success, growth, and clinical outcomes.  The Associate General Manager / General Manager will be partner to the market physician leader (Regional Medical Officer), who holds accountability for clinical results market-wide and leads the clinical strategy and team. The Associate General Manager / General Manager will have management responsibility for clinical operations (clinical partners, operations manager), business operations, care management & engagement (case management, social work, community health workers) community and provider outreach, and be responsible for successful hiring, retention, staff development, and performance management. This is a significant business and operations leadership role in an organization with proven results and a national footprint.  As such, candidates should have proven team management experience and the ability to develop and deepen relationships across CareMore’s Primary Care & Collaboration division and the broader organization. The Associate General Manager / General Manager will report to the Primary Care & Collaboration business leadership and join a national group of leaders across CA, AZ, NV, TN, IA, GA, and CT.

Core Competencies & Duties (Responsibilities)
  • Able to flex between strategy development and operational execution
  • Hands-on clinical operations leadership experience (including team leadership and development; patient and community engagement; and field-based practice operations, among other functions), preferably managing in the primary care / outpatient setting, or in the home-based setting
  • Experience managing costs / budgets for care delivery partnerships, including capitated and / or value-based payment models
  • Strong belief in and passion for CareMore’s clinical model and care philosophy
  • Roll-up your sleeves attitude and ability to work in an agile “start-up” environment, including the ability to lead within ambiguous settings; strong team-building and presence; internal motivation and drive; and track record of delivering results
  • Ability to drive partnership and execution with key stakeholders, including health plan leadership, community organizations, and major provider partners
  • Aptitude for strategic thinking with the ability to identify, leverage, and spread CareMore best practice while demonstrating a continuous innovation mindset
  • Ability to forge strong relationships with physicians and other healthcare leaders, and identify new opportunities to support CareMore’s growth
  • Strong communications and executive presence
  • Experience hiring, training, coaching, counseling, and evaluating performance of direct reports
  • Strong strategic managed care perspective for complex populations and ability to lead expansion of services across Medicare Advantage, Medicaid, and commercial populations
Associate General Managers focus on overseeing the day-to-day for a single market and team, across business operations, clinical operations, care management & engagement, community & provider outreach.  Over time, Associate General Managers gain the experience and skills to progress into broader strategic & operations oversight roles as General Managers, overseeing one or more markets, with added responsibility for payer / provider collaboration strategy and development.

Work Location & Travel Expectations
Based in market with travel within the state support the market, team, and operations, as well as periodic travel to NY (Primary Care & Collaboration leadership), CA (CareMore central leadership), and other markets (overall 70-80% in-market, 20-30% travel).

Minimum Qualifications
  • Master’s (MBA, MHA) or equivalent experience in relevant field
  • Proven experience managing teams to deliver impact
  • 5-10+ years of experience in care delivery operations and leadership or equivalent across top-tier care delivery, consulting, managed care, or other healthcare organizations
  • Strong strategic and operational analytic capabilities, including financial analysis and budgeting, and facility with PowerPoint, Excel, and other management tools / clinical applications