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Executive Director - Medicare Alliance

Location: Laings, OH
Company: Anthem, Inc
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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.
The Central Region Medicare Team at Anthem is hiring an Executive Director Medicare Alliance to join its team in Louisiana. This high-performing individual contributor will be responsible for overseeing the execution of the alliance strategy as set forth by the board of directors of the newly formed joint venture company. He/she will work to drive alignment across multiple matrix organizations to flawless execution and success. He/she will be responsible for overall market results by driving a high degree of collaboration across the joint venture partners. He/she will be responsible for P&L and profitable membership growth for Medicare DSNP business in Louisiana. He/she will drive the overall market results.
[This position can work from any Anthem office in Louisiana, preferably in Baton Rouge]
Primary duties to include, but are not limited to:
- Effectively serving as a bridge between Anthem and its joint venture partner.
- Ensures increased profitability for entire portfolio of products and revenue optimization.
- Responsible for maintaining or improving STAR ratings as appropriate.
- Supports network strategies, including expansion and narrowing as appropriate, and engagement and contracting strategies.
- Success requires significant coordination of matrixed functions to drive health plan performance.
- Directly responsible for leading the work around a successful launch of the joint venture.
- Ongoing day-to-day responsibility for ensuring the joint venture achieves its goals as laid out by the Board of Directors including but not limited to all goals around growth, quality, and profitability.
- Drives success through improvements/changes to current approaches/processes to drive results.
- Collaborates with shared services support to meet joint venture objectives.
- Strategy and execution specific to cost of care and quality.
- Assist in the creation and execution of a sales and marketing plan to support joint venture objectives.
- It is required that this position work from our Baton Rouge, LA location. (Relocation assistance may be available.
Requires a BA/BS degree in a related field; 8+ years of leadership/management experience in health care management, marketing products, and managing significant business results, including 5 years in a managed care environment and/or 3 years Medicare advantage experience; or any combination of education and experience, which would provide an equivalent background.
Highly preferred experience:
-Previous P&L and/or project management experience in health care setting preferred.
-Expertise in Medicare Advantage, Medicare Dual Special Needs Plan DSNP, Medicaid.
-Health Operations experience preferred. Medicare Product, Compliance, and Network experience are also preferred.
-MBA preferred.
-Excellent quantitative, marketing, financial, and strategic skills required.
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 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.
REQNUMBER: PS51878-3077
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