Job Description

Staff VP Total Health Management - PS9153
Location: United States
Field: Medical
Requisition #: PS9153
Post Date: Nov 06, 2018
Your talent. Our Vision. At AIM Specialty Health (AIM) , a proud member of the Anthem, Inc.
family of companies, 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 .
Role Description:
This
COO track-eligible role functions as the lead Operating Executive for AIM’s
suite of clinical appropriateness, provider selection, and provider and member
engagement programs and services.
The
SVP of Specialty Health Management is responsible for effectively directing and managing
the end-to-end provisioning, fulfillment and execution of a portfolio of
in-bound and outbound care management and member service delivery teams, both
in-bound and out-bound, including utilization management, case management, disease
management and other clinical program operating models.
Key
duties include:
Ensure successful development, operational
readiness, and client-responsive implementation of solutions to meet customer
needs in desired timeframes.
Ensure successful execution of AIM client
and business and account goals through end to end operational
oversight of department.
Partner
with clinical program leadership, solutions development/management and other
key groups to guidemajor cross-disciplinary initiatives
that involve the strategy, design, mobilization and deployment of solutions that support delivery of clinically appropriate, quality, safe and affordable
healthcare benefits and services.
Develop
and implement a structure and process for continuous, repeatable and
systematic process redesign and programmatic improvements.
Serve
on internal and external quality and provider committees.
Hire, train, coach, counsel and
evaluate performance of direct reports.
Qualifications:
Experience
in leading and directing the activities and large-scale and broad-scope care
management programs & operating units
Experience
with health plan and care management systems, advanced telephony/omni-channel
technology & business processes, and the advanced data needs and means required
to operationalize for scale, efficiency, responsiveness and resiliency.
Experience
and success in designing, building, launching, and operationalizing new
clinical management programs and products.
Experience
in go-to-market planning and sales/marketing/implementation support externally
with clients
10 years of management experience with
significant large-scale operations in the health care industry including 5 years
of experience leading multi-state, multi-lines of business including large
programs and multi-disciplinary teams; BA/BS degree in a relevant field or any
combination of education and experience which would provide an equivalent
background. MBA, MS or other advanced degree preferred.
Anthem, Inc. is ranked as one of America's
Most Admired Companies among health insurers by Fortune magazine and is a 2017
Diversity Inc 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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