Staff VP Enterprise National Contracting II at Anthem in Mason, OH

Staff VP Enterprise National Contracting II

Responsible for leading provider contracting, recruitment, strategic initiatives and building strong relationships with key national providers (including large scale national hospitals and/or health systems, national physician organizations, and/or national provider networks that span a broad geography.

Primary duties may include, but are not limited to:

• Oversees and participates in the development of growth strategies and retention initiatives for the Enterprise. Executes Cost of Care actions to deliver on budgeted target.
• Drives provider collaboration and engagement.
• Ensures compliance with CMS guidelines and HIPAA compliance.
• Manages admin budget within target.
• Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Leadership – Demonstrated ability to perform successfully as a leader of other leaders, teams and cross-functional groups. The successful executive will build the framework and environment to support our business in achieving human capital goals and support long-term growth to enable business success. Building a strong, deep and highly functioning teams is a requirement.

Promote Anthem mission and culture – Demonstrated success in building and leading successful teams with a culture that is committed to execution, collaboration, communication and a positive growth and learning environment for our associates. The application of regular coaching, timely performance management and active mentoring.

DESIRED OUTCOMES

• Position Anthem as the preferred strategic partner with key health systems and providers
• Align provider solutions priorities to overall Enterprise strategy to unite the business.
• Develop strong cross-functional relationships and a collaborative approach across all line of business.
• Position Anthem as best in class cost structure.
• Provide balanced advocacy in support of the enterprise.

Qualifications

• Requires a BA/BS degree; 12+ years of related experience with progressive responsibility working with large and complex health systems that span across multiple states; or any combination of education and experience, which would provide an equivalent background. Master's degree preferred.
• Progressive responsibility and leadership experience in network contracting working with health systems and/or post-acute providers.
• Demonstrated skills and experience in building and maintaining strategic relationships with key health systems and providers, narrow networks and other joint ventures.
• Experience with multiple types of reimbursement methodologies from fee for service through capitation (including Value Based Program contracting and management).
• Successful management experience with a demonstrated record of hiring and developing direct reports and extended leadership teams..
• Experience in both Commercial and Government business in a health care related field required.
• Network contracting and relationship development on both carrier and provider side ideal.
• Proven success as an executive, collaborating with other executives and leaders.
• Display personal agility to work across a wide array of businesses and stakeholders to develop the credibility to achieve results.
• Ability to travel is required (approx. 30%-40%).