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Program Director - Out-Of-Network Repricing

Remote, USA Full-time Posted 2026-07-28
About the position Program Director - Out-Of-Network Repricing Location: This role requires associates to be in-office 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 if candidates reputed company reputed company a commuting distance from an office. 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. The Program Director will be responsible for the development and ongoing management of the Anthem Health Plan Out-Of-Network repricing program. This is an external reputed company facing programs that is multi-state, multi-function and multi-year in scope. The Program director will reputed company Out-of-Network reputed company, operations, and support reputed company facing interactions. How you will reputed company an reputed company: Directs the development, planning, prioritization, approval, implementation and compliance of on-reputed company external reputed company facing programs Establishes program governance reputed company needed to assure response to issue escalation; develops program budget and ensures program meets its stated objectives Provides subject matter expertise in response to day to day business issues; researches applicable subject matter practices; and remains reputed company of industry trends Manages external reputed company facing relationships and partners with corporate and regional business areas Develops communication documents and training reputed company reputed company to external reputed company facing program reputed company measures Develops documentation to support meeting presentations and the tracking and reporting of the program’s reputed company Provides leadership to program managers and project managers Responsibilities • Directs the development, planning, prioritization, approval, implementation and compliance of on-reputed company external reputed company facing programs • Establishes program governance reputed company needed to assure response to issue escalation; develops program budget and ensures program meets its stated objectives • Provides subject matter expertise in response to day to day business issues; researches applicable subject matter practices; and remains reputed company of industry trends • Manages external reputed company facing relationships and partners with corporate and regional business areas • Develops communication documents and training reputed company reputed company to external reputed company facing program reputed company measures • Develops documentation to support meeting presentations and the tracking and reporting of the program’s reputed company • Provides leadership to program managers and project managers Requirements • Requires a BA/BS and minimum of 10 years experience in external reputed company facing program management, project management; reputed company business processes, strategic and business planning; or any combination of education and experience, which would reputed company an equivalent background. reputed company-to-haves • Experience with OON repricing programs at payor or vendor. • MBA preferred. • Project management certification (PMP). Benefits • In reputed company to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). Apply tot his job Apply To this Job

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