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Corporate Attorney in Eau Claire, WI

Anthem, Inc. Oct 07,2015 Sep 09,2015 Location Eau Claire WI
This job is expired...

In-House

Attorney

Corporate

Litigation - Whistleblower - CFTC

Min 10 yrs required

Profile

Staff VP Provider Economics Candidate will have end to end financial and analytic accountability for provider contracting and network development activities related the Medicare and Medicaid lines of business at firm. Will manage unit cost budgets, inclusive of prospective and retrospective unit cost oversight. Oversee reimbursement development, provider contract modeling, network design and unit cost trend analysis for the Medicare and Medicaid lines of business. Oversee development and roll out of provider contract evaluation and modeling tools in alignment with other lines of business across the Enterprise. Collaborate with Provider Management Analytics’ enterprise teams on value-based program design and network development. Will be responsible for financial results tied to shared savings and risk models. This includes the development of cost, quality, and outcomes program targets; evaluation of program performance; calculation of shared savings or shared risk financial results; processing of monthly financial transactions (shared savings, care coordination PMPM payments); and maintenance of firm’s member attribution process. Hire, train, coach, counsel, and evaluate performance of direct reports.

Qualification and Experience

Candidate should have a a BA/BS degree in a related field; 10 years of progressive experience in managed care or integrated health services with understanding of reimbursement methods including Fee For Service (FFS), Pay for Performance (P4P), bundles, capitation and global budgets; or any combination of education and experience, providing an equivalent background. MBA, JD degree or MHA is preferred. 8+ years of experience in providing analytical direction to professional exempt employees is required. Knowledge of analytical tools, statistical techniques, health care data, and financial performance assessment and analysis is required.

Additional info

Ref: 106148.

Company info