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Director Duals Policy

Company: Anthem, Inc.
Location: New Haven
Posted on: November 19, 2021

Job Description:

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 care companies and a Fortune Top 50 Company. The--Medicare Duals Strategy Team at Anthem is hiring a Director, Duals Policy to join its team. This high-performing individual contributor will be r esponsible for developing and overseeing an enterprise-wide Medicare--Duals--strategy--and implementation through influencing external entities (e.g., state agencies, CMS, MMCO) related to state and federal policy impacting Anthem's Dually Eligible populations. In addition to working with state and federal agencies, this position will also work with Anthem's internal State Affairs, Public Policy, Government Relations, and Compliance teams. Also responsible for--providing innovative product/program design, support and guidance across the enterprise to promote profitable membership growth and/or increased performance, working with all Regional Medicare Plan Presidents and their teams to design plans, benefits and programs for the applicable region. [This position can work remotely from any US Anthem location] Primary duties may include, but are not limited to:-- -Defines the strategy and works directly with internal and external entities to influence and provide guidance and direction on the strategy, design, and implementation of--the varying levels of integration and processes governing FIDE-, HIDE-, and Coordinated-SNPs. -Serves as the subject matter expert and primary--contact across the enterprise and for all Regional Medicare and Medicaid Plan Presidents--in terms of policy-related issues. -Developing a 3-year roadmap to achieving higher levels of integration and initiating default enrollment. -Collaborates and coordinates work with peers, other departments within Medicare, and matrix/shared service partners e(e.g. Finance, Actuarial, IT, Digital Operations, Quality, Pharmacy, HCM, CSBD, CAO, and IngenioRx) to identify capability enhancements and innovative solutions, establish accountabilities and ensure connectivity between shared services and enterprise business initiatives (e.g. creating innovative duals products/programs, increasing specific STARS results across the Anthem footprint through duals, MA and Med Supp populations/products).-- Qualifications Requires a BA/BS degree;--10 years of--Medicare and Medicaid experience; or any combination of education and experience, which would provide an equivalent background. Thorough Medicare and Medicaid knowledge required. Demonstrated results in three or more of the following areas required: Product Development, Innovation, Market Strategy, Market Research, Stars metric improvement or Risk Management.-- Highly preferred experience:
-MBA preferred 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 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. Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem. EEO is the Law
EqualOpportunityEmployer/Disablity/Veteran Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at for further assistance. *WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the 'Rip-offs and Imposter Scams' option. Anthem requires a completed online application for consideration of employment for any position.

Keywords: Anthem, Inc., New Haven , Director Duals Policy, Executive , New Haven, Connecticut

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