Anthem RVP Medical Director - PS15207 in Chicago, Illinois

RVP Medical Director - PS15207

Location: United States

Field: Medical

Requisition #: PS15207

Post Date: Nov 21, 2018

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 benefits companies and a Fortune Top 50 Company.

Location:

  • 1 position will be based in the Eastern Region in an Anthem office location

  • 1 position supporting Group Retiree Services (GRS) can be based in any location

Job Summary:

Responsible for administration of company health plan medical services to ensure the appropriate and cost effective medical care is provided. Oversees medical performance for assigned health services area and clinical decision-making aspects of programs. May also have Healthcare Management responsibilities for a state.

Primary duties may include, but are not limited to:

  1. Interprets existing policies and develops new policies based on changes in the healthcare or medical arena.

  2. Leads, develops, directs, and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

  3. Supports the Medical Management staff ensuring timely and consistent responses to members and providers.

  4. Identifies and develops opportunities for innovation to increase effectiveness and quality.

  5. Serves as a resource and consultant to other areas of the company.

  6. Serves on company committees.

  7. Represents company to external entities and/or serves on external committees.

  8. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

  • Requires MD; board certification approved by the American Board of Medical Specialties where applicable to duties being performed.

  • 10 years of clinical experience.

  • Any combination of education and experience, which would provide an equivalent background.

  • For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com An Equal Opportunity Employer/Disability/Veteran