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Program Manager (CA Medicaid)
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DescriptionSHIFT: Day Job
Your Talent. Our Vision. At Anthem Blue Cross, a proud member of the Anthem, Inc. family of companies, 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.
Program Manager (CA Medicaid)
Work Location – Must reside in the state of California (This position covers Alpine, Amador, Calaveras, Inyo, Mariposa, Mariposa, Mono and Tuolumne counties in California. May consider working remotely.)
This is an exceptional opportunity to do innovative work that means more to you and those we serve. An exciting opportunity to drive the future of health care, Anthem Blue Cross is the place where exceptional talent meets exceptional opportunity to do innovative work that has a positive impact on the quality of life for the 1.2 million Medi-Cal Managed Care members we serve. Program Manager Responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program. Primary duties may include, but are not limited to:
Represent Health Plan on special projects and growth initiatives that result in performance improvements. - Enhance relationships with local elected officials and local stakeholders. - Serve as liaison with County Health and Human Services Agency and County Behavioral Health Departments - Facilitate Community Advisory Committee Meetings, County Public Health Memorandum of Understanding (MOU) meetings, County Behavioral Health MOU meetings and Regional Center MOU meetings. - Prepare and monitor reporting of activities for submission to Regulatory & Compliance departments. - Build and maintain provider relationships, support local and community health collaborative initiatives, and serve on managed care related committees. - Function as a resource in assigned program areas and help resolve non-routine questions, situations, and provider, member, and regulatory/compliance issues. - Support development and execution of key marketing strategies that help grow membership while complying with state and federal regulations. - Develop and implement initiatives/projects that streamline complex processes across multiple business and clinical functions in a highly matrix health care organization. - Develop and deliver highly engaging visual presentations on program performance and projects/initiatives to external and internal leaders. - Perform Market/Competitive Intelligence. - Compliance Focus: Regulatory and Contractual Requirements. - Develop and maintain relationships with the Local Health Plan.
Requires a BA/BS degree; 5-7 years of external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background. - Medi-Cal Managed Care experience and/or Public Health, Community Health Center experience 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.