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Cost of Care Director  PS3065 in Minneapolis, MN at Anthem, Inc.

Date Posted: 9/28/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem, Inc., the Government Business Division is focused on serving Medicaid, Medicare and uninsured individuals. Our commitment and focus on government health programs is the foundation upon which we’re creating better care for our members, greater value for our customers and better health for our communities. Join us and together we will drive the future of health care.
 
Join one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the Minnesota Medicaid Program. 


Cost of Care Director - Eagan, MN PS3065
Work Location: Eagan, MN






Your Talent. Our Vision. At Anthem, Inc., the Government Business Division is focused on serving Medicaid, Medicare and uninsured individuals. Our commitment and focus on government health programs is the foundation upon which we’re creating better care for our members, greater value for our customers and better health for our communities. Join us and together we will drive the future of health care.
 
Join one of the fastest growing businesses in a company with the largest and most successful Medicaid business in the nation. The associate in this position will be supporting members enrolled in the Minnesota Medicaid Program. 


Cost of Care Director - Eagan, MN PS3065
Work Location: Eagan, MN


Leads and manages multiple cost of care initiatives including the most complex initiatives  enterprise wide (e.g. local, within each state, across business segments and at the enterprise level) and drives their execution. Understands, predicts and implements measures to control healthcare costs and to make healthcare more affordable for our customers. Develops, manages, oversees, and executes new and innovative initiatives to manage rising costs and enhance the company’s market competiveness. 


Primary duties may include, but are not limited to: 
• Identifies and develops best practices and cost of care improvement processes around physician, hospital and ancillary network contract negotiation strategies, utilization management efforts, new products, annual benefit design participation, and financial operations. 
• Oversees the identification of potential cost of care savings opportunities through complex analytics via partnering with the cost of care analytics team, to developing action plans, benefits and risk assessments and overseeing and partnering with the actuarial team to develop and ensure accurate savings quantification. 
• Champions cost of care initiatives, negotiates for human capital resources, and partners with care management, claims, IT, and business partners. 
• Manages and presents cost of care projects to senior leadership including State Plan Presidents. Serves on local and enterprise committees. 
• Plans, leads and oversees cost of care planning meetings and tracks and reports on cost of care projects. 
• May mentor and/or provide training and assistance to Managers responsible for assigned Cost of Care project deliverables. 




• Requires a BS/BA degree; Financial, Business, and Leadership acumen; at least 9 years relevant experience in Health Care; or any combination of education and experience, which would provide an equivalent background. 
• MBA, MHA, MA preferred. 
• Project management experience and PMP or Six Sigma certification preferred.    
• Prior experience with provider network contracting, provider reimbursement strategies/systems, provider networks, claims, finance, and operations preferred


Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.