These positions may be in any WellPoint location or telecommute.
The Program Director- ACO Implementations will be responsible for the development implementation of ACO/IDN programs. Primary duties may include, but are not limited to: Directs the development, planning, and implementation of enterprise ACO capabilities and processes. Develops ACO contract template and program description. Partners with local market team to manage the implementation of ACOs. Establishes program governance when needed to assure response to issue escalation.
Provides subject matter expertise in response to day to day business issues; researches applicable subject matter practices; and remains aware of industry trends. Manages external client facing relationships and partners with corporate and regional business areas. Develops communication documents and training criteria related to external client facing program success measures. Develops documentation to support meeting presentations and the tracking and reporting of the program’s success. Provides leadership to program managers and project managers.
Payment Innovation Overview
WellPoint’s Payment Innovation team is focused on reforming our current healthcare delivery system. Despite having the most costly health system in the world, the U.S. health care system ranks last or next-to-last on five dimensions of a high performing health system. As stewards of our customer’s healthcare dollar, Anthem’s goal is to drive improvements in the system that changes this picture through arrangements with our providers that:
– rationalize the connection between price, cost and value with a focus on quality and the total cost of care
– move away from the current, unsustainable, model that rewards volume over value.
– create the right incentives to foster – and enable – hospitals, health system, physicians and other providers make the right decisions based on community need and evidence based standards of quality and appropriate care.
Anthem is committed to migrating from volume to value based provider payment arrangements. This commitment is evidenced by our large and successful portfolio of payment innovation arrangements, including hospital and physician Pay for Performance programs, Bundle Payment arrangements, Accountable Care models, Patient Centered Medical Homes, and Chronic Care Models. This position plays a critical role in supporting one or more of these payment innovation arrangements
Qualifications
Requires a BA/BS degree; 10 + years of experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background. MBA preferred. Project management certification (PMP) preferred. Experience with Integrated Delivery Systems and/or patient-centered care models (PCMH, ACO, etc.) required. Demonstrated leadership, planning and organization skills to ensure development and maintenance of relationships across the enterprise required. Understanding of complex business processes required. Project management experience strongly preferred. Proficiency in Word, Excel, PowerPoint required. Strong verbal and written communication skills required. Experience with reimbursement arrangements and physician relationship experience a plus.
WellPoint is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine, one of the 100 Best Places to Work by Working Mother magazine, and is a 2011 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company please visit us at
www.wellpoint.com/careers
. EOE
Once an offer is accepted, all external applicants are subject to a background investigation
and if appropriate, drug testing. Offers of employment shall be contingent upon
passing both the background investigation and drug testing (if required).
Current WellPoint associates: All referrals must be submitted through the formal
associate referral process on WorkNet. Official guidelines for the associate referral
program can be found in My HR.
American Imaging Management - 12 months ago
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