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Vendor Implementation Manager - Remote - PS5892
Category: Other
  • Your pay will be discussed at your interview

Job code: lhw-e0-90629031

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  Job posted:   Thu Jun 7, 2018
  Distance to work:   ? miles
  2 Views, 0 Applications  
Vendor Implementation Manager - Remote - PS5892
Vendor Implementation Manager - Remote - PS5892


**Location:** **Norfolk, Virginia, United States**

**Field:** Provider Network Management

**Requisition #:** PS5892

**Post Date:** 21 hours ago

_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.

**Vendor Implementation Manager - Remote Opportunity**

The Vendor Implementation Manager is responsible for managing 3 rd party delegated vendor relationships, such as dental, vision and non-emergent transportation, for Medicaid, MMP and Medicare lines of business. Manages complex delegated vendor and vendor operational enhancement program implementations and/or de-implementations for multiple states. Primary duties may include, but are not limited to:

+ Complex operational issue management resolution and problem solving for ongoing delegated vendor relationships.

+ Planned initiatives to achieve cost of care savings for a state and/or complex regional initiatives, ensuring successful Government Business Division delegated vendor management implementations including contract & network development, workflow process development, performance metric development and maintenance.

+ Identifies, resolves and implements operational vendor processes that ensure appropriate vendor payments and data needs for multiple states with similar system platforms, or a state or complex regional initiatives.


The Vendor Implementation Manager takes a lead role in complex national delegated vendor network development, contract negotiations and development, implementations, terminations and Joint Operations Meetings. Responsible for on-going operations management, oversight of national vendor delegates, and coordination of contract requirements to ensure contracts meets Anthem's legal and regulatory standards including, but not limited to: administration and reimbursement parameters. Responsible for ensuring compliance with all regulatory, CMS, NCQA, state and Federal regulations. Candidate must be a critical thinker and have the ability to solve problems. Performs other duties as assigned.


+ Requires a BA/BA degree; 3-5 years of provider network development, provider network management, provider contracting or related experience; or any combination of education and experience, which would provide an equivalent background.

+ Medicaid experience required.

+ Provider relations experience required.

+ Medicare experience a plus.

+ Six Sigma and/or project management certification preferred.

**_Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at EOE. M/F/Disability/Veteran._**

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