Medicare Duals Growth Strategy Sr. Director – Performance Focus

Medicare Duals Growth Strategy Sr.

Director – Performance Focus

The Medicare Duals Strategy Team at Anthem is hiring a Medicare Duals Growth Strategy Sr.

Director (Performance-Focused) to join its team.

This high performing individual contributor will be responsible for developing and overseeing an enterprise-wide Medicare Duals strategy (e.g., STARS performance, Medicare and Medicaid integration, growth, financial performance, and operational excellence) and implementation through influencing external entities (e.g., government agencies) and internal entities (e.g., government relations) and through providing innovative program design, support, and guidance across the enterprise to promote profitable membership growth and/or increased performance, working with all Regional Presidents, functional area leaders and their teams to design plans and programs for the applicable region.

This position will be uniquely focused on performance (Star Ratings, risk adjustment, financials, etc.)

[This position can work remotely based from any US Anthem location]

Primary duties may include but are not limited to: defines growth strategies and goals, and works directly with internal and external entities to influence and provide guidance and direction on the strategy, design, and implementation of Duals programs or processes (e.g., improving STARS performance, provider network improvements, enhanced member experience, etc.).

Serves as a subject matter expert and primary contact across the enterprise and for all Regional Medicare and Medicaid Plan Presidents.

Influences, coordinates, and facilitates enterprise program/process innovation and program/process development activities (e.g., evaluating internal/external capabilities, identifying market leading performance strategies, creating product strategies, developing proposals), in partnership with others.

Utilizes partnerships with internal teams, industry connections, and/or external partners to identify best practices and develop cutting edge strategies.

Develops 3-year strategies and implementation plans for the Duals program and/or processes (e.g., Sales strategies, STARS performance, etc.).

Collaborates and coordinates work with peers, other departments within Medicare, and matrix/shared service partners (e.g., Finance, Actuarial, IT, Sales, Digital Operations, Quality, Pharmacy, HCM, CSBD, CAO, and IngenioRx) to identify capability enhancements and innovative solutions, establish accountabilities and ensure connectivity between shared services and enterprise business initiatives (e.g., creating innovative duals products/programs, increasing specific STARS results across the Anthem footprint).

Qualifications

Requires a BA/BS degree; 10 years of product management, Medicare, and Medicaid experience; or any combination of education and experience, which would provide an equivalent background.

Thorough Medicare and Medicaid knowledge required.

Demonstrated results in three or more of the following areas required: Product Development, Innovation, Market Strategy, Duals Strategy, Market Research, Stars metric improvement, Risk Management, Health Plan Operations, Federal and State Policy.

MBA preferred.

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.

Anthem, Inc.

has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes.

To learn more about our company and apply, please visit us at careers.antheminc.com.

An Equal Opportunity Employer/Disability/Veteran.

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Anthem, Inc.

is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs.

If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.

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