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President of Medicaid Health Plan – CA

Anthem, Inc

This is a Full-time position in Anaheim, CA posted April 1, 2021.

DescriptionSHIFT: Day JobSCHEDULE: Full-timeYour 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 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
– 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 Gaino Growtho Cost of Care commitmentso Revenueo Meeting or exceeding Quality and accreditation
– Experience in Complex Population administration, working with stakeholders and new program implementation.
– Significant network experience (10 plus years)
– A minimum of 15 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.REQNUMBER: PS46809

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