Provider Network Relations Consultant - Woodland Hills, CA - Ps18876

Anthem, Inc. Woodland Hills , CA 91367

Posted 4 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.

Provider Network Relations Consultant - Woodland Hills, CA - PS18876

The location for this position is the Woodland Hills, CA office.

Develops and maintains positive relationships with providers and develops strategies for Risk Adjustments.

Primary duties may include, but are not limited to:

  • Develops and maintains positive relationships with the provider community by periodic on-site visits, communicating administrative or programmatic changes and facilitating the resolution of provider issues.

  • Conducts negotiations and leads contracting efforts with providers to increase Risk scores.

  • Coordinates communication process on such issues as administrative Rick tracking.

  • Conducts seminars to support the understanding of managed care and Blue Cross and Blue Shield policies and procedures.

  • Coordinates and conducts provider training.

  • Requires a BA/BS degree;

  • 3 years of related experience (provider relations, network management, sales-negotiation); prior negotiation experience; or any combination of education and experience, which would provide an equivalent background.

  • Excellent communication skills and presentation skills.

  • Claims experience is preferred, having worked with providers.

  • Limited travel is required - approx. 10%

  • Proficiency in MS Office - specifically Excel required and SharePoint preferred

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. 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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Provider Network Relations Consultant - Woodland Hills, CA - Ps18876

Anthem, Inc.