Anthem Solutions Management Director - PS16177 in Andover, Massachusetts

Solutions Management Director - PS16177

Location: United States

Field: Business Support

Requisition #: PS16177

Post Date: Jan 30, 2019

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.

Preferred Office Locations:

Chicago, IL

Atlanta, GA

Solutions Management Director:

Responsible for leading the planning and implementation of products and services for the most complex, diverse lines of business enterprise wide. Serves as the single point of contact and subject matter expert on all aspects of planning, implementing and managing day to day operational, technical and business partner interactions for existing programs and works together with Product Development to consult on enhancements to existing products and development of new clinical solutions based on department analytics.

Primary duties may include, but are not limited to:

  1. Provides consultation and advice to business partners regarding benefits of products and analytics. Explains timelines and measures of success for implementing these products.

  2. Coordinates with the Physician Liaison regarding clinical issues related to clinical measure implementation or customization by line of business and communicates changes to Product Development for consideration in product performance and financial analyses.

  3. Schedules and coordinates implementation of contracted products and services for assigned business partners. Coordinates data requirements, production schedules and deliverables with the business partner.

  4. Oversees all business partner specifications and/or modifications for contracted products and services. Provides business partners with the resources, training and services necessary to effectively utilize the products that provides.

  5. Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance.

  6. Maintains expert knowledge of current clinical measures and future clinical measure development plans, communicates this information to business partners, assists in the selection of clinical measures to be utilized in pilot and full rollout of products and services, and guides business partners in continually reviewing and updating clinical measure sets.

  7. Maintains expert knowledge of all current systems, products and services and basic understanding of future system and product development plans to allow appropriate level of communication with business partner.

  8. Leads department projects and mentors solutions management staff.

  9. Provides leadership to managers and consultants.

  10. Serves as subject matter expert for the department. Directors typically support business strategies through an integrated portfolio of programs, projects and initiatives.

  • Requires a BA/BS degree and 8-10 years of experience in related field

  • 3-5 years Solutions Management experience; or an equivalent combination of education and experience required

  • Graduate degree and/or professional designation related to field preferred

  • Project management experience preferred

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