Manager II GBD Quality Management - Plan

Anthem, Inc. New Haven , CT 06501

Posted 2 months ago



SHIFT: Day Job

SCHEDULE: Full-time

At Empire BlueCross BlueShield, a proud member of the Anthem, Inc. family of companies, serving our communities for over 85 years. 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.

Empire's commitment to inclusion and diversity makes us a stronger organization. Our culture is essential to attracting talent that understands and connects with our consumers. It creates spaces where different perspectives and experiences are valued; it lets us develop innovative thinking and unifies our associates behind our mission-to materially and measurably improve the whole health of all New Yorkers and make healthcare simpler.

Empire's Whole Health proposition is committed to protecting an individual's complete health and wellness. Our inclusivity is the foundation to serve and support our diverse New York communities.

Manager II Medicare Quality Management

  • Plan

Location: New York, NY; Wallingford, CT; Iselin, NJ

Open to other locations for the most qualified applicant; must reside within a commutable distance to an Anthem office in our East Region

The Manager II Medicare Quality Management

  • Plan is responsible for developing and ensuring effective coordination of quality initiatives within the health plan, to include indicators for monitoring and evaluating the quality of care, service, and satisfaction of providers and members.

Primary duties may include, but are not limited to:

  • Establishes and implements Quality Management objectives and action plans to improve Stars and HEDIS performance.

  • Leads a team of provider facing (telephonic and in person) associates to improve quality of care and services.

  • Coordinates development, implementation, and evaluation of quality improvement and member satisfaction action plans.

  • Provides oversight and ensures implementation of the Healthcare Effectiveness Data Information Set (HEDIS) data management and reporting strategy; coordinates the related improvement action plans.

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


Required Qualifications:

  • Requires a BA/BS in a health or business related field; 7 years of experience in a healthcare environment, including prior management experience; or any combination of education and experience, which would provide an equivalent background.

  • Medicare experience required.

  • HEDIS experience required.

Preferred Qualifications:

  • MSN, MPH, or MPA preferred.

  • Current clinical license preferred.

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 An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

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Manager II GBD Quality Management - Plan

Anthem, Inc.