Anthem Staff VP Care Delivery Transformation-134370 in Hingham, Massachusetts

Responsible for directing, managing, designing, and leading Care Delivery Transformation efforts across all Payment Innovation programs. Primary duties may include, but are not limited to: * Develops and maintains infrastructure and reporting for programs supporting the medical neighborhood. * Leads the clinical aspects of Payment Innovation work. * Collaborates with internal clinical, technical, and information management partners to identify and deliver a collaborative framework to support a transformation to patient-centered, high quality, cost effective care models. * Designs and manages strategy, planning, and strategic alignment of provider performance measurement reporting and reward programs. * Partners with others across enterprise to identify, prioritize, and integrate Cost of Care (COC) opportunities into Payment Innovation programs. * Hires, trains, coaches, counsels, and evaluates performance of direct reports. * Designs and implements programs to close clinical gaps in care, reduce total cost of care, and enhance clinical documentation by providers

Requires an MBA, MHA or similar degree; 10 years of management experience in healthcare operations, budgeting and forecasting, process improvement, or planning experience; or any combination of education and experience, which would provide an equivalent background. Significant experience managing clinical programs (Care Management, Clinical Transformation, etc.) strongly preferred. Experience with Medicare Advantage, Fully Insured Commercial products, the Health Insurance Exchange, and/or Medicaid preferred. 35-50% travel may be required.


Job Provider Network Management

Equal Employment Opportunity Statement Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.

Title: Staff VP Care Delivery Transformation-134370

Location: massachusetts-Hingham

Other Locations: OH-Mason, NY-New York City

Requisition ID: 134370