Director Healthcare Mgmt - Anthem (California)
Director Healthcare Mgmt - PS16182
**New**
**Location:** **California, United States**
**Field:** Medical
**Requisition #:** PS16182
**Post Date:** About an hour ago
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
May consider telecommuting for internal candidates
**Job Summary:**
Responsible for integrated care management services on an aligned regional perspective for an entire LOB to include, Commercial plans.
**Primary duties may include, but are not limited to:**
1. Manages care management delivery teams which may include Utilization Management, Case Management, and clinical programs.
2. Delivers quality, high touch, customer responsive, and cost effective care.
3. Leads care delivery teams providing integrated solutions including behavioral health, wellness, pharmacy, and provider partnerships.
4. Manages medical loss ratio.
5. Partners with Clinical Shared and Specialty Services and regional leadership to deliver market leading care management services, root cause analyses and solutions to achieve engagement and quality outcomes.
6. Develops and manages communications on Anthem Care Management (ACM) issues and opportunities.
7. Develops and implements process redesign and programmatic improvements.
8. Serves on internal and external quality and provider committees.
9. Participates in external facing meetings with clients, providers, etc.
10. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
+ Requires a BA/BS.
+ 10 years of experience in managed care/health care environment or related field.
+ 4 years of management experience.
+ Any combination of education and experience, which would provide an equivalent background.
+ Microsoft Office Suite experience.
+ Travel will be required for this position.
**_Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com An Equal Opportunity Employer/Disability/Veteran_**
