Vice President East Region Networks (Corydon)

Anthem in Corydon, IN

  • Industry: Executive Management - Marketing/Public Relations
  • Type: Full Time
  • $107,780.00 - 166,990.00
position filled

The Vice President East Region Networks will have primary responsibility for provider contracting, provider relations, recruitment, and strategy for provider networks within the East Region (ME, NH, CT, NY, NJ, MD/DC, VA, NC, and GA). This is a tremendous opportunity for the right person with significant experience leading regional contracting efforts.
KEY RESPONSIBILITIES
Lead all provider contracting, provider relations, recruitment, and strategy for all markets within defined region for all lines of business (Commercial and Government Business Division)
Work directly with Medicare, Commercial, and Medicaid P&L owners to define, shape, and execute growth strategies (local, national, and new markets) and retention initiatives
Execute on strategies to deliver current year plan Cost of Care savings and identify incremental savings opportunities to be implemented in subsequent years
Identify and/or execute on operational effectiveness strategies/initiatives (eg Contraxx, EFA/EPA, EMAP) to achieve incremental savings
Work closely with Provider Experience leadership to maximize provider experience and to develop a best-in-class service model for providers
Identify and/or execute on risk adjustment strategies/initiatives to create incremental savings for Commercial, Medicare, and Medicaid
Implementation of Provider Collaboration initiatives including EPHC, Shared Savings, QHIP, etc
Drive provider service, collaboration, and engagement
Analyzing data and identifying drivers of medical cost trends and implementing initiatives to mitigate trends
Ability to plan, organize, administer, and coordinate a variety of large and complex services, projects, and programs.
Hire, train, coach, counsel, and evaluate performance of direct reports
Ability to source, develop, and grow talent
The ideal candidate will leverage resources and partnerships, internally and externally, to spearhead Anthem's Provider Solutions efforts to address the needs of our members, providing direction for high quality of care and continued business growth. The Vice President East Region Networks is responsible for leading, developing and overseeing the implementation of regional provider solutions strategies.
PROFESSIONAL EXPERIENCE/EDUCATION
Bachelor's degree in Business, Healthcare Administration or other relevant area of study. Master's degree preferred.
Minimum of 15 years leadership and executive level experience spanning commercial and government business lines; in-depth experience in the healthcare field including successful management experience with a demonstrated record of hiring and developing direct reports and extended leadership teams; or any combination of education and experience, which would provide an equivalent background
Minimum of 10 years' experience managing provider networks or working in a risk bearing provider/delivery system
Proven success as an executive, collaborating with other executive and leaders. Display personal agility to work across a wide array of businesses and stakeholders to develop credibility and achieve results.
Experience leading large national or regional medical expense initiatives
Strong track record and experience in Managed Care
Position required to be located within a primary Anthem office.


Associated topics: analyst, cmo, facebook, government, media, newspaper, presale, product market, public, regulatory

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