Director Provider Resolution, Central Zone

Description

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.

The Director, Provider Resolution directs the activities related to the provider resolution through the development and maintenance of the company's physician and provider delivery system across multiple states/markets or in a larger complex market, which includes several large Hospital Systems (exceeding $1B) and/or IPAs. Staff is typically located in multiple sites and/or states and utilizes multiple systems. Position requires significant and regular external contact with customers or agencies and knowledge of state/federal regulations.

How you will make an impact.

• Direct the communication and complaint resolution strategies between physicians, hospitals, members, and the public.
• Responsible for achieving individual and team performance goals/metrics and department budget accountability.
• Hire, train, coach, counsel, and evaluate performance of direct reports.

Status: Full-time, Salaried with Bonus Potential, Work at Home in the central time zone preferred

Qualifications

Requirements

• BA/BS degree in business or health field
• Minimum of 7 years of related experience, which should include managing direct reports
• Any combination of education and experience, which would provide an equivalent background.

Preferences

• Claims knowledge
• Managed Care Experience

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 If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to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 ability@icareerhelp.com for assistance.