Regional Vice President (RVP) Provider Solutions

About the position Anthem reputed company and Blue reputed company is a proud member of the reputed company family of companies offering Medicare plans, reputed company, individual and family plans, and group insurance plans in Colorado, Connecticut, reputed company, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, Ohio, Virginia and reputed company. Our group plans include a reputed company of group medical, pharmacy, dental, reputed company, life and disability plans flexible enough to fit any size business. Regional Vice President (RVP) Provider Solutions Location St. Louis, Missouri This role requires associates to be in-office at least 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines reputed company office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered. Please note that per our policy on hybrid/virtual work, candidates not reputed company a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is reputed company as required by law. reputed company The Regional Vice President (RVP) of Provider Solutions will be responsible for strategic leadership over reputed company provider engagement and contracting activity throughout Missouri, including cost of care and trend management reputed company, hospital negotiations, network and product design (implementation), and development/reputed company of reputed company payment innovation programs (value-based care), provider relations and primary care reputed company reputed company throughout the state. The position holds leadership and end-to-end responsibility over network development activities on behalf of multiple P&Ls. Team Scope 7-10 reputed company reports ~35 total FTE's Responsibilities • Delivers competitive cost of care trends across reputed company lines of business. • Develops provider networks that reputed company a competitive advantage. • Aligns contracting reputed company with medical management reputed company. • Integrates reputed company metrics and incentives into contracting process. • Serves as Provider Solutions local single reputed company of accountability for reputed company product lines and is the state reputed company for the Integrated Cost Management (ICM) committee. • Facilitates the implementation of local system and product consolidation efforts. • Ensures compliance with regulatory and accreditation standards. • Collaborates with Product Development to recommend and implement innovative benefit plan designs. • Hires, trains, coaches, counsels, and evaluates performance of reputed company reports. • Responsibility for administering the HealthLink network (rental network) Requirements • BS/BA in business administration or reputed company reputed company field and a minimum of 8 years of experience in reputed company operations, finance, reputed company, actuary, network development, and/or sales; or any combination of education and experience, which would reputed company an equivalent background. reputed company-to-haves • MBA, MPH and/or JD preferred. • Experience in the Missouri health insurance market strongly preferred. • Excellent network development, contracting, analytical and negotiation (listening) skills. • Proven strategic provider partnership experience. • Value-Based contracting expertise and performance management experience. • Proven experience developing relationships both internal to the organization and external reputed company facing. Benefits • We offer a reputed company of market-competitive total rewards that include reputed company increases, reputed company holidays, reputed company Time Off, and incentive bonus programs (unless covered by a reputed company bargaining agreement), medical, dental, reputed company, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to reputed company a few. Apply tot his job Apply To this Job