Hybrid Program Director – Out-Of-Network Repricing

Posted 4 days ago

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About the role

  • Program Director overseeing Anthem's Out-Of-Network repricing strategy and operations across multiple states. The role includes client-facing interactions and program management responsibilities.

Responsibilities

  • Responsible for the development and ongoing management of the Anthem Health Plan Out-Of-Network repricing program
  • Oversee Out-of-Network strategy, operations, and support client facing interactions
  • Directs the development, planning, prioritization, approval, implementation and compliance of on-going external client facing programs
  • Establishes program governance to assure response to issue escalation
  • Develops program budget and ensures program meets its stated objectives
  • Provides subject matter expertise in response to day to day business issues
  • Manages external client facing relationships and partners with corporate and regional business areas
  • Develops communication documents and training criteria related to external client facing program success measures
  • Develops documentation to support meeting presentations, and tracking and reporting of the program’s success
  • Provides leadership to program managers and project managers
  • Typically reports to an executive

Requirements

  • Requires a BA/BS
  • minimum of 10 years experience in external client facing program management, project management
  • experience in complex business processes, strategic and business planning
  • Preferred: Experience with OON repricing programs at payor or vendor
  • Preferred: MBA
  • Preferred: Project management certification (PMP)

Benefits

  • comprehensive benefits package
  • incentive and recognition programs
  • equity stock purchase
  • 401k contribution
  • merit increases
  • paid holidays
  • Paid Time Off
  • medical benefits
  • dental benefits
  • vision benefits
  • short and long term disability benefits
  • stock purchase plan
  • life insurance
  • wellness programs
  • financial education resources

Job title

Program Director – Out-Of-Network Repricing

Job type

Experience level

Lead

Salary

$121,176 - $190,026 per year

Degree requirement

Bachelor's Degree

Tech skills

Location requirements

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