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
