CareMore is a proud member of the Elevance Health family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.
CareMore Health’s Western Region is looking for a Director, Practice Management, Western Region to join its team. This People Leader will be responsible for the overall clinic operations of the practice management for the Western US in each of Carmore's markets.
[This position may work remotely from any US location in our Western Region]
Responsible for the overall operations of the practice management clinics and mobile and virtual operations.
Primary duties may include, but are not limited to: Manages the staff in charge of the specific office based practice management services provided to practice management clients or clinics. Partners with finance team to manage practice management P&L, and directly responsible for managing administrative spend as well as operational capacity and productivity. Produces future forecasts for practice management/clinic operating performance. Responsible for execution of key strategic initiatives at regional/market level. Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires a BA/BS degree and a minimum of 10 years of experience; or any combination of education and experience, which would provide an equivalent background.
Highly preferred skills and experience:
-10 years of provider practice management/operations experience is strongly preferred.
-Value-based or risk operational experience
-STARS and HEDIS achievement and risk mitigation experience
- Medicare Advantage experience from a payer or provider lense
-Masters Degree, MBA, MPH
-Ability to travel 10-15%
Indianapolis, IN
Anthem, Inc., through its subsidiaries, operates as a health benefits company in the United States. It operates through three segments: Commercial & Specialty Business, Government Business, and Other. The company offers a spectrum of network-based managed care health benefit plans to large and small group, individual, Medicaid, and Medicare markets. Its managed care plans include preferred provider organizations; health maintenance organizations; point-of-service plans; traditional indemnity plans and other hybrid plans, such as consumer-driven health plans; and hospital only and limited benefit products.
The company also provides a range of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs, and other administrative services. In addition, it offers an array of specialty and other insurance products and services, such as dental, vision, life and disability insurance benefits, radiology benefit management, and analytics-driven personal health care guidance; and Medicare administrative services.
Further, the company provides services to the federal government in connection with the Federal Employee Program; and operates as a licensee of the Blue Cross and Blue Shield Association. As of December 31, 2018, it served 40 million medical members through its affiliated health plans. The company was formerly known as WellPoint, Inc. and changed its name to Anthem, Inc. in December 2014. Anthem, Inc. was founded in 1944 and is headquartered in Indianapolis, Indiana.