Location: This position will work a hybrid model (remote and office). The Ideal candidate will live within 50 miles of one of our Elevance Health PulsePoint locations.
The Program Director will be responsible for the development and ongoing management of the Anthem Health Plan Out-Of-Network repricing program. This is an external client-facing program that is multi-state, multi-function and multi-year in scope. The Program Director will oversee Out-of-Network strategy, operations, and support client facing interactions and will report to the Staff VP, Commercial Aligned Incentive Solutions.
How you will make an impact:
Directs the development, planning, prioritization, approval, implementation, and compliance of on-going external client facing programs
Establishes program governance when needed 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, researches applicable subject matter practices, and remains aware of industry trends
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 the tracking and reporting of the program's success
Provides leadership to program managers and project managers
Program directors typically manage external client-facing programs that require managing activities and resources of multiple departments or business areas of the organization
Minimum Requirements:
Requires a BA/BS and minimum of 10+ years' experience in external client-facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
3-5+ years' of work experience with OON repricing programs at payor or vendor
MBA, preferred
Project management certification (PMP)
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 elevancehealthjobssupport@elevancehealth.com for assistance.
