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Anthem, Inc. Dir BH Programs & Services- AR in Little Rock, Arkansas

Description

SHIFT: Day Job

SCHEDULE: Full-time

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.

Given Anthem’s scale, balance sheet, broad national reach and depth at the local market level, Anthem has established a new business unit called the Diversified Business Group. The Diversified Business Group is a solutions-oriented business unit within the Company that will support Anthem and other external clients in the pursuit of transforming healthcare.

Dir BG Programs & Services

Location: Position based Arkansas

Summary: Responsible for the clinical vision and implementation of new behavioral health direct care programs and services. Works in partnership with the Product and Strategy team to execute on the company’s behavioral health clinical vision. Sets the stage for clinical design and implementation of a product strategy through innovative programs, such as peer support services, intellectual & developmental disabilities (IDD), and substance use disorder (SUD). Ensures that operational needs are met and ensures compliance with state/federal health plan requirements, Medicare guidelines and health plan requirements

Primary duties may include, but are not limited to:

  • Drives and assists in the design of strategic plans and management of enterprise-wide, large-scale clinical initiatives, pilots, and projects promoting quality care. Directs and oversees innovation initiatives, data analysis activities, and evaluation strategies for clinical programs including, but not limited to, pilot projects, grant-funded research projects, and publication endeavors. Maintains knowledge of innovative clinical best practices and applies creative solutions across different markets.

  • Build alliances across the business and clinical leadership teams to ensure a collaborative, efficient and viable operating model. Innovates and implements new or revised models for clinical strategy functions in response to evolving trends in healthcare delivery and/or emerging models of care.

  • Supports cost management projects through analysis of medical expense to determine savings for both proposed and implemented initiatives.

  • Works to create evidence-based solutions for substance products and technologies. Hires, trains, coaches, counsels, and evaluates performance of direct reports

Qualifications

  • Requires MS in a behavioral health field (i.e. social work, counseling); and 10 years of experience in behavioral health setting, either provider or payer; or any combination of education and experience, which would provide an equivalent background.

  • Current unrestricted Independent Clinical or Behavioral Health licensure required.

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.

REQNUMBER: PS40064

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