Anthem Blue Cross and Blue Shield is a proud member of the Elevance Health family of companies offering Medicare plans, Medicaid, individual and family plans, and group insurance plans in Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and Wisconsin. Our group plans include a variety of group medical, pharmacy, dental, vision, life and disability plans flexible enough to fit any size business.
Regional Vice President (VP) II Provider Solutions
Location: Successful candidate must reside within 50 miles of an Elevance Health office location, and able to work a hybrid work schedule (at least 3 days per week on-site). Relocation assistance available.
Preferred location: Atlanta, Georgia
Other office locations: Augusta or Midland, Georgia
Responsible for providing strategic leadership for provider engagement and contracting for assigned state with a benefit spend between $3 billion and $8 billion, including local cost of care and trend management, provider contracting, implementation, and local oversight of all types of payment innovation programs, and provider relations and education.
Primary duties may include, but are not limited to:
Oversees and continuously optimizes provider service delivery model.
Delivers competitive cost-of-care trends in the assigned state.
Develops provider networks that provide a competitive advantage.
Aligns contracting strategy with medical management strategy. Integrates quality metrics and incentives into the contracting process.
Serves as Provider Solutions local single point of accountability for all product lines and is the Georgia lead for the Integrated Cost Management activities versus (ICM) committee.
Facilitates the implementation of the local system and product consolidation efforts.
Ensures compliance with regulatory and accreditation standards.
Collaborates with Product Development to recommend and implement innovative benefit plan designs. Hires, trains, coaches, counsels, and evaluates the performance of direct reports.
BS/BA in business administration or related healthcare field and a minimum of 8 years of experience in healthcare operations, finance, underwriting, actuary, network development, and/or sales; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experiences:
MBA strongly preferred.
Excellent contracting, analytical and negotiation (listening skills) needed.
Proven strategic provider partnership experience.
Value-Based on complex arrangements knowledge
Proven experience developing relationships both internal to the organization and external client facing.
Experience in the Georgia market.
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
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.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process. Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact email@example.com assistance.