Anthem, Inc. HWS Acct Mgt Medical Dir RVP in Hingham, Massachusetts
SHIFT: Day Job
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.
We are hiring for an Account Management Medical Director RVP. This position will be responsible for providing oversight of medical management programs, strategies, and operations. Positively impact health care quality, outcomes, and cost for Commercial, Consumer and National customers. Plays a key role in the sales process to enhance the company's presence with National accounts, driving new sales growth.
Primary duties may include, but are not limited to:
Serves as an expert resource on medical-related issues in the sales process for the business
Ensures high quality and efficient medical services are provided to accounts based in their specific regions
Serves as an expert medical resource to identify ways to increase performance to grow/retain business
Makes recommendations to medical leadership on appropriate medical actions as needed
Serves as a physician resource for special needs and catastrophic situations
Leverages physician relationships/networks to arrive at best care solutions
Serves as the voice of health policy to the clients and consults with and advises them in shaping their decisions
Serves as a key partner with account management teams
Serves as a medical subject matter expert in one of several areas to provide counsel and advice on relevant strategies and initiatives
May represent the company on external committees or with applicable vendors as needed
Serves as key liaison between Health Solutions and regional medical management teams to ensure business is conducted in a responsive, compliant manner
Requires MD; 10 years of progressively industry experience; or any combination of education and experience, which would provide an equivalent background. Current unrestricted medical license in applicable state(s) required. Board certification required where applicable to the duties being performed. Advanced management degree (MBA, MPH) preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.
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