Risk Contracting Strategy Dir
Anthem Blue Cross & Blue Shield
Position Title:Risk Contracting Strategy Dir
Responsible for providing strategic leadership for assigned region around expansion and adoption of risk contracting arrangements, including plan design, creation, management, and strategic planning in coordination and collaboration with multiple matrix partners.
Support/lead effective complex risk contracting and specialty value-based agreement negotiations for all lines of businesses across throughout the region, including FPCC and risk deals.
Actively participate in network strategy meetings, develop multi-year strategy/pipeline for risk contracting, and reports results through various venues to the leadership team.
Guide/direct the implementation of risk deals to ensure clean, effective execution to increase provider confidence in taking on risk, in support of the company's strategic goals.
Identify providers partners to move to risk and makes recommendations to local value-based contracting lead/team and enterprise partners.
Assist in identifying best practices in managing risk deals and effectuate best practices to drive company results.
Serve as a regional mentor by training, educating, and coaching value based contracting associates on negotiation tactics, best practices, lessons learned, etc.
Support local markets in identifying/standing up provider partnerships that incorporate an element of risk.
Collaborate and coordinate with shared business partners, including but not limited to Finance, Actuarial, IT, and HCM, to achieve outcomes and establish improvements/enhancements.
Requires a BA/BS degree in a related field and a minimum of 10 years of leadership/management experience in health care management, marketing products, and managing significant business results; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities and Experience:
MBA strongly preferred.
Previous P&L and/or project management experience in health care setting; excellent quantitative, marketing, financial, and strategic skills strongly preferred.
Travels to worksite and other locations as necessary.
Job Level:Director Equivalent
Job Family:PND > Network Contracting
Be part of an Extraordinary Team
Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. A Fortune 20 company with a longstanding history in the healthcare industry, we are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
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, providing various levels of flexibility while also ensuring that associates have opportunities to connect in-person. Unless in a designated virtual-eligible role and 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 – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.