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Anthem, Inc. Solutions Management Director in Norfolk, Virginia
SHIFT: Day Job
Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.
For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.
The Solutions Management Director role is 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 include, but are not limited to: • Provides consultation and advice to business partners regarding benefits of products and analytics. • Explains timelines and measures of success for implementing these products. • 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. • Schedules and coordinates implementation of contracted products and services for assigned business partners. • Coordinates data requirements, production schedules and deliverables with the business partner. • 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. • Analyzes business partner data for QA and identification of opportunities for business partners to utilize products and services to improve plan performance. • 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. • 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. • Leads department projects and mentors solutions management staff. • Provides leadership to managers and consultants. • 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.
Certifications strongly preferred: • Certified Professional Contracts Manager (CPCM) • Certified Federal Contracts Manager (CFCM) • Certified Commercial Contracts Manager (CCCM)
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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.