Plan President of Medicaid, Wisconsin
Company: Anthem, Inc.
Location: Waukesha
Posted on: April 8, 2021
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Job Description:
Welcome to the Anthem Careers site! We have been hard at work to
improve our job search and application systems to better serve you.
It is now easier to find and apply for relevant jobs as well as
stay connected with Anthem. Here are a few of the updates you may
notice: Welcome to the Anthem Careers site! We have been hard at
work to improve our job search and application systems to better
serve you. It is now easier to find and apply for relevant jobs as
well as stay connected with Anthem. Here are a few of the updates
you may notice:
Job Family: Business Development/Planning
Req #: PS46839
Date Posted: Mar 24, 2021 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 care
companies and a Fortune Top 50 Company.-- The Plan President of
Medicaid, Wisconsin will report to the President of Medicaid West
Region.-- The Plan President Medicaid Health Plan will have primary
responsibility for the fiscal, operational, legislative,
regulatory, and human resources objectives/agenda for assigned
Medicaid health plan, part of the Medicaid Business Unit of Anthem,
Inc.'s Government Business Division (GBD). This position is
responsible for aligning strategy to achieve business goals and
build a culture of accountability with people who are results
driven, innovative and committed to excellence. This translates to
the following specific responsibilities:
- Build the depth and operating environment that can achieve annual
operating goals and support long-term growth for our business and
our associates. Keen attention to development of strong, deep and
highly functioning teams is a requirement. - Achieve annual
operating and business objectives through adept P&L management
to include revenue, cost management, SG&A and forward-looking
product growth opportunities. - Oversight and participation in
medical management, including hospital census review, medical
staffing, seasonality issues, detailed communications with the
medical director and nurse leader and monthly accrual analysis.-- -
Oversight and participation in the development of growth strategies
and retention initiatives for health plan. Oversee marketing and
product growth strategies, business initiatives, school-based,
faith-based, community-based and special needs initiatives.-- -
Oversight and/or direct participation in relationships with key
hospital, large physician practices/clinic and key ancillary
providers such as dental and vision contractual relationships. -
Drive provider collaboration and engagement in the areas of service
and Payment Innovation.-- - Maintain oversight of a strong
operating team with an ability to establish operating process,
remediate service issues, implement new programs and support all
areas of a health plan to accomplish established business goals, to
include interfacing with national service centers and shared
service operations. - Navigate seismic growth in the
state-sponsored business environment and ongoing state fiscal
pressures that pose significant challenges to our existing
infrastructure to meet demand for revenue capture opportunities
with a potential top line business. This includes, dynamic provider
environment with rapid consolidation of providers, threats to our
unit cost position and access to services for our members, and
competitive threats to our business model by emerging provider
delivery models. - Evaluate changing market conditions and
determine necessary changes to our value proposition to meet state
needs/requirements, including understanding new financial, business
relationship models and contractual agreements required, and
evolving our business strategy and capabilities. Develop existing
talent to meet changing market conditions and recruit new talent as
required. - Convince Regional President of required strategic
direction to meet health plan goals, including potential
investments required. Convince enterprise program leadership to
adopt product solution strategies that are beneficial to the
plan.
-- Qualifications Qualifications - Bachelor's degree in relevant
area of study; Master's degree preferred.
- Experience having led or participated in cost management, budget
building and forecasting and successful premium rate management and
renewals. Annual goals focus around:
o Operating Gain--
o Growth--
o Cost of Care commitments
o Revenue--
o Meeting or exceeding Quality and accreditation
- Experience in Complex Population administration, working with
stakeholders and new program implementation.
- Significant network experience (8 plus years)
- A minimum of 12 years' work related experience within the
government healthcare programs sector with a minimum of 8 years of
experience in government-sponsored health insurance programs.
- Proven success in influencing senior executives and managers.
Display personal agility to work across a wide array of businesses
and stakeholders to develop the credibility to achieve results.
- Demonstrated experience with change management strategies and
implementation.
- Exceptional written, oral, interpersonal skills and the ability
to effectively interface with senior management.
- Strong understanding of data and the ability to make data-based
decisions and create compelling representations using data.
- Superior management skills and ability to influence and engage
direct and indirect reports and peers.
- Strong empathy and ability to communicate effectively with
diverse populations verbally and in writing.
- Results-oriented with superior problem-solving skills and ability
to effectively manage varied resources to complete a
task/project.
- Excellent judgment and creative problem-solving skills, including
negotiation and conflict resolution skills. 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. is
ranked as one of America's Most Admired Companies among health
insurers by Fortune magazine and has been named a 2019 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. Anthem promotes the
delivery of services in a culturally competent manner and considers
cultural competency when evaluating applicants for all Anthem
positions. Please be advised that Anthem only accepts resumes from
agencies that have a signed agreement with Anthem. Accordingly,
Anthem is not obligated to pay referral fees to any agency that is
not a party to an agreement with Anthem. Thus, any unsolicited
resumes, including those submitted to hiring managers, are deemed
to be the property of Anthem. EEO is the Law Please use the links
below to review statements of protection from discrimination under
Federal law for job applicants and employees. 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. *WARNING : Please beware of phishing scams that solicit
interviews or promote work-at-home opportunities, some of which may
pose as legitimate companies. Please be advised that Anthem will
never ask you for a credit card, send you a check, or ask you for
any type of payment as part of consideration for employment with
our company. If you feel that you have been the victim of a scam
such as this, please report the incident to the Federal Trade
Commission here by selecting the 'Rip-offs and Imposter Scams'
option. Anthem requires a completed online application for
consideration of employment for any position.
Keywords: Anthem, Inc., Waukesha , Plan President of Medicaid, Wisconsin, Executive , Waukesha, Wisconsin
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