Provider Network Mgr. (Job Family) - 33025EF - Woodland Hills, CA

WellPoint is the nation's leading health benefits company serving the needs of approximately 28 million medical members nationwide.Anthem Blue Cross is a proud member of the WellPoint family of companies. At Anthem, we are dedicated to our mission of improving the health of the people we serve. We believe the best health care coverage can actually help people stay healthy. As part of our commitment to positively impact the lives of people all over the country, we are recruiting leaders with the motivation and vision to deliver ideas that make a noticeable difference in the lives of our members and in the communities we serve.The Southern California Health Services Area is dedicated to ensuring our members have access to increasingly affordable, safer, and more transparent health care through the development and management of provider networks consisting of hospitals, physicians, and ancillary providers.  We strive to create provider networks that offer our members the best in healthcare while also creating and maintaining collaborative working relationships with our communities of providers. Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine. Provider Network Manager (Job Family)*Location: Woodland Hills, CA  *Level will be determined by skills and experience of selected candidates.*   Responsible for developing the provider network through contract negotiations, relationship development, and servicing. Primary focus of this role is contracting and negotiating contract terms. This level typically works with more complex providers at least 50% of the time. Complex providers may include, but are not limited to, smaller institutional providers, professional providers with more complex contracts, ancillary providers, providers in areas with increased competition or where greater provider education around managed care concepts is required. Contracts may involve non-standard arrangements that require a moderate level of negotiation skills. Fee schedules can be customized. Works with increased independence and requires increased use of judgment and discretion. May work on cross-functional projects requiring collaboration with other key areas. Essential duties may include, but are not limited to: Serves as a communication link between providers and the company. Conducts more complex negotiations and drafts documents. Assists in preparing financial projections and conducting analysis as required. Also responsible for managing the financial and operational performance of provider networks within a market and to support growth within assigned markets. Must understand financial drivers of provider networks and be able to identify and implement cost improvement strategies in order to improve overall cost of care and price points. Represents Network Management as subject matter expert on committees/projects as needed.  Performs other duties as assigned.   Requires BA/BS or any combination of education and experience that would afford equivalent competencies. 3-5 years experience in contracting, provider relations, provider servicing preferred. Requires 5-7 years and 8-10 years experience as stated above for the higher level positions, as well as demonstrated leadership skills. Must have strong oral and written communication skills, good analytical skills, and PC skills. May require travel.  WellPoint is ranked No. 1 among health insurers on Fortune Magazine’s annual list of America’s Most Admired Companies and has been named as one of the Top 50 Companies for Diversity by DiversityInc Magazine. To learn more about our company please visit us at www.anthem.com..