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Nashville, Tennessee - USD Full Time Posted: Sunday, 13 August 2017
 
 
Description

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.

Responsible for financial leadership, decision support, and strategic consultation to Health Plan leadership team in the Health Plan/region with responsibility for a significant and diverse product portfolio, including specialty products and complex provider contracting arrangements of significant revenue value, that carry substantial financial risk to the Plan/division P&L within the largest and most complex markets.

Provides leadership and oversight for health plan financial analysis, serves as legislative consultant with state partners on financial/reimbursement policy and payment mechanisms, cost of care analytics, trend analysis, financial reporting, financial operations, and cost and budget management and allocation.

Primary duties may include, but are not limited to:

. Directs market leadership for P&L and SG&A budget in a high revenue and highly complex market; operates as a financial liaison to state partners;

. Leads rates management and negotiation including reserve development and analytics; and leads the Medical Cost Trend identification and mitigation process.

. Maintains trends that are appropriate given premium reimbursement; achieves Medical Cost and MLR targets set in plans and forecasts; ensures that provider network contracting efforts obtain the best possible financial arrangements; owns the setting and achievement of Cost of Care targets; and achieves operating gain targets set in budgets and forecasts.

. Provides analytics and reporting for multiple state programs such as PCMH, Episodes of Care, Health Link (Behavioral program) and Care Coordination

. Provides multiple standard and ad hoc reporting required by the State

. Provides support for multiple regulatory reports

. Directs Health Plan preparation of annual operating/capital budget and quarterly forecasts to provide senior leadership with tools necessary to maximize investment of resources.

. Directs interface with regulatory and audit personnel and technical consultants as required to ensure fiscal accountability.

. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

Education and Experience:

. Requires a BA/BS in Finance, Business Administration, Accounting, or Economics, or related field; 15 years' experience in health care analytics, financial reporting, business analysis within health insurance/managed care environment and multi-site operations and processes; experience with complex business environments including multiple entity and highly regulated situations; 8+ years of leadership experience; or any combination of education and experience, which would provide an equivalent background.

. Collaborative

. Views self as part of the general management team

. Experienced in Tennessee ideal, but needs experience in a managed care setting, preferably as finance lead

. MBA preferred

. Preferred managed care experience in the following areas:

. TANF

. SSI (Disabled)

. Behavioral

. Long Term Care

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

Posted by StartWire



Nashville, Tennessee, United States of America
Finance
USD
Anthem, Inc.
Anthem, Inc.
JS2124_51CA5425B14AFB72C29C7EE2B08B1450_228_I/257161167
8/13/2017 6:57:51 AM

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