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CareMore Configuration and Provider Data Management Director

Company: Anthem, Inc.
Location: Saint Louis
Posted on: June 9, 2021

Job Description:


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At CareMore, a proud member of the Anthem, Inc. family of companies, it's a powerful combination. It's 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.

CareMore is a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America's largest managed healthcare organizations.

CareMore Configuration and Provider Data Management Director

Directs activities for the Configuration and Provider Data Management teams. Responsibilities include: oversees system configurations for billing, products, contracts, fee schedules, pricers and claims; oversees the relationships between systems support, business units, IT, vendors and other areas to ensure work deliverables are evaluated from end to end; oversees the provider data management process to ensure accuracy of provider set-up and demographics, oversees business analysis related to system upgrades to ensure business needs are clearly identified, documented, tested and delivered within scope; facilitates communication and engages business and IT management to encourage configuration management efforts and value proposition; reviews and approves significant IT infrastructure changes to ensure impacts to configuration management data are properly addressed

Management duties include hiring, training, coaching, counseling and evaluating performance of direct reports.

Experiece with Facets or Cognizant products preferred. Healthcare experience required. BS/BA in related field and a minimum of 9 years related experience required. Advanced degree preferred. Excellent written and verbal communication skills, and negotiation skills required. Advanced strategic planning and organizational skills required.

COLORADO ONLY - Annual Salary Range*: $128,000-$160,000

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law.

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 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.

Keywords: Anthem, Inc., St. Louis , CareMore Configuration and Provider Data Management Director, Other , Saint Louis, Missouri

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