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Anthem, Inc. Provider Reimburse Manager/Pricing & Configuration in Indianapolis, Indiana

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 benefits companies and a Fortune Top 50 Company.

Provider Reimbursement Manager

Central area locations preferred: IN, KY, WI, MO, OH, GA

*This is a remote/work-from-home opportunity. The selected candidate will be required to commute to an Anthem location, occasionally for business needs and should reside within 50 miles from an Anthem location.

The Provider Reimburse Manager manages key components of the provider reimbursement strategy.

Primary duties may include, but are not limited to:

  • Leads the development of pricing methodology and configuration.

  • Works with Provider Solutions, Health Economics, and Pricing IT to ensure that accurate pricing is created and implemented for provider reimbursement.

  • Performs and/or directs complex pricing configuration to ensure that projected unit reimbursement changes meet corporate cost targets.

  • Provides upfront collaboration and advisement for hospital and physician negotiations.

  • Maintains the provider reimbursement strategy that will lower the cost of care, improve service, and reduce administrative expenses.

  • Manages special projects and initiatives.

  • Assists with inventory management.

  • Researches and resolves complex pricing and configuration issues as they arise, to reach a resolution.

Qualifications

Qualifications:

  • BA/BS degree in a related field; 7+ years reimbursement experience including performing detailed financial modeling and economic analyses; or any combination of education and experience, which would provide an equivalent background.

  • CPA, MGA, MBA or other equivalent advanced degree preferred.

  • Intense knowledge of WGS and other pricing systems is strongly preferred.

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. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.

REQNUMBER: PS52434-Indiana

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