Sr Provider Network Mgr ( Family) - (Thousand Oaks, CA) - 402 - (US-CA-Thousand Oaks - 91363)

Minimum Education: Tech School
Job Type: Full Time
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Anthem Blue Cross
is a proud member of the WellPoint family of companies and is one of California's oldest and largest health insurers. At Anthem, we are dedicated to our mission of improving the health of the people we serve through improved health of Californians and improved access to care. We believe the best health care coverage can actually help people stay healthy.


As part of our commitment to positively impact the lives of people all over the country, we are recruiting leaders with the motivation and vision to deliver ideas that make a noticeable difference in the lives of our members and in the communities we serve.

The Southern California Health Services Area is dedicated to ensuring our members have access to increasingly affordable, safer, and more transparent health care through the development and management of provider networks consisting of hospitals, physicians, and ancillary providers. We strive to create provider networks that offer our members the best in healthcare while also creating and maintaining collaborative working relationships with our communities of providers.

Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.

Provider Network Manager (Job Family)*
Location: Thousand Oaks, CA

*Level will be determined by skills and experience of selected candidates.*

Responsible for developing the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. Focus will be on government contracting: State Sponsored business such as Medi-Cal, Health Families and other Government Products such as MediCare. This level typically works with more complex providers at least 50% of the time. Complex providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, medical groups, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. Contracts may involve non-standard arrangements that require a moderate level of negotiation skills. Fee schedules can be customized.

Skills:
* Requires BA/BS and 3-5 years experience in contracting, provider relations, provider servicing or any combination of education and experience that would afford equivalent competencies.* Requires 5-7 years experience as stated above for the higher level position, as well as demonstrated leadership skills.* State Sponsored business such as Medi-Cal, Health Families and other Government Products (MediCare) preferred.* Must have strong oral and written communication skills, good analytical skills, and PC skills.* Requires travel.WellPoint is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2009 DiversityInc magazine Top 50 Company for Diversity.

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