Provider Reimbursement Director
Company: Anthem, Inc.
Posted on: November 18, 2021
Provider Reimbursement DirectorAnthem. 3.7 - Norfolk, VA.
Description. SHIFT: Day Job. SCHEDULE: Full-time. Your Talent. Our
Vision. At Anthem, Inc., it's a powerful combination, and the
foundation upon which we're creating greater access to care for our
members, greater value for our customers, and greater health for
our communities. Join us and together we will drive the future of
health care.. This is an exceptional opportunity to do innovative
work that means more to you and those we serve at one of America's
leading health care companies and a Fortune Top 50 Company..
Location: 100% remote; nationwide locations will be considered. The
Provider Reimbursement Director position is responsible for leading
key provider reimbursement functions and initiatives across the
enterprise and serves as subject matter expert regarding provider
reimbursement strategies and practices.. Primary duties may
include, but are not limited to:. Leads the development and
implementation of enterprise-wide provider reimbursement
strategies, processes and systems for a major provider type, such
as facilities.. Works to drive the adoption and use of standardized
reimbursement and contracting methodologies across the enterprise..
Works with medical directors, contract negotiators, cost of care
staff and provider relations staff to identify and implement best
practice solutions to manage costs and reimburse for services..
Facilitates the communication of activities, emerging trends, and
best practices across all units and facilitates implementation of
initiatives, through use of a steering committee containing
representatives from the company's plans, regions, and business
units.. Researches and quantifies the impact of changes to
reimbursement methodologies.. May lead fee schedule development for
specific plan(s) and/or the development and implementation of
clinical editing rules.. Manages special projects and initiatives..
Represents the department and serves as a key contributor on
enterprise initiatives, projects, and task forces.. Qualifications.
Requirements:. BS/BA degree in a related field. minimum of 10 years
business and professional experience in provider reimbursement and
contracting, provider relations, and provider servicing; or any
combination of education and experience, which would provide an
equivalent background.. Preferred:. CPC. Nurse Licensure (RN or
LPN). Clinical background. Presenting at an executive level. 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.. Anthem,
Inc. has been named as a Fortune 100 Best Companies to Work For--,
is ranked as one of the 2020 World's Most Admired Companies among
health insurers by Fortune magazine, and a 2020 America's Best
Employers for Diversity by Forbes. To learn more about our company
and apply, please visit us at careers.antheminc.com. An Equal
Opportunity Employer/Disability/Veteran. Anthem promotes the
delivery of services in a culturally competent manner and considers
cultural competency when evaluating applicants for all Anthem
positions.. Thousands of employers search for candidates on Indeed.
Yes. -. I plan to apply. -. No, I don't intend to applyMasters
Keywords: Anthem, Inc., Norfolk , Provider Reimbursement Director, Executive , Norfolk, Virginia
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