Anthem Dir I Medicaid State Ops( Location West Virginia) in Topeka, Kansas

Dir I Medicaid State Ops( Location West Virginia)

Location: United States

Field: Business Support

Requisition #: PS7552

Post Date: 6 days ago

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care .

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.

Location is West Virginia preferred

Develops, directs, plans and evaluates the goals and objectives of the business unit for UniCare Health Plan of WV, Inc.

Primary duties may include, but are not limited to:

  • Establishes state/regional strategic plans and objectives to meet business unit goals.

  • Assumes leadership role in implementing corporate initiatives, including special project planning and budget management.

  • Resolves complex financial, legal, or politically sensitive issues. Partners with State Regulatory Agency.

  • Leads program development to ensure members, network providers, and community partners successfully participate in programs.

  • Plans, directs, and secures the resources (people, material, data and support) for staff to effectively accomplish operational needs and strategic initiatives.

  • Maintains appropriate staffing levels and provides oversight of indirect reporting associates.

  • Motivates associates to accomplish goals and objectives.

  • Develops and implements budget and a strong team through training and effective organizational development practices.

  • In collaboration with and in support of the National Field Operations, assumes all management functions for a state/regional/field office.

  • Ensures all policies and procedures related to Field Operations are compliant with all applicable laws and regulations governing the Government Business Division.

  • Champions initiatives by developing and managing State rate negotiations and key relationships with government, regulatory, Medicaid/SCHIP and other stakeholders as appropriate.

  • Provides coordinated analysis and regional solutions to issues.

  • Guides implementation of programs and strategies.

  • Collaborates with senior management to develop and implement new programs to enhance relationships with key stakeholders and to promote programs and services.

  • Resolves programmatic challenges related to program operations including member issues, provider claims and provider network.

  • Manages projects and issues across departmental and divisional lines to facilitate timely resolution.

  • Represents business unit on national/state/regional boards, task forces, and work groups that impact the health care delivery system and other key health care issues.

  • Hires, trains, coaches, counsels, and evaluates performance of direct reports

Requires BA/BS degree in a related field; 8 years management experience in the health care field; or any combination of education and experience, which would provide an equivalent background. Medicaid experience preferred. Master’s degree preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran.