Program Director overseeing Anthem's Out-Of-Network repricing strategy and operations across multiple states. The role includes client-facing interactions and program management responsibilities.
Responsibilities
Responsible for the development and ongoing management of the Anthem Health Plan Out-Of-Network repricing program
Oversee Out-of-Network strategy, operations, and support client facing interactions
Directs the development, planning, prioritization, approval, implementation and compliance of on-going external client facing programs
Establishes program governance 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
Manages external client facing relationships and partners with corporate and regional business areas
Develops communication documents and training criteria related to external client facing program success measures
Develops documentation to support meeting presentations, and tracking and reporting of the program’s success
Provides leadership to program managers and project managers
Typically reports to an executive
Requirements
Requires a BA/BS
minimum of 10 years experience in external client facing program management, project management
experience in complex business processes, strategic and business planning
Preferred: Experience with OON repricing programs at payor or vendor
Program Manager overseeing engineering projects crucial for manufacturing at ImmunityBio. Responsible for planning, execution, and delivery of facility and engineering projects.
Principal Program Manager overseeing complex programs and strategic initiatives at Disney's Enterprise Technology. Working with senior - level staff to align technology solutions with business strategies.
AI Program Manager leading technology and AI strategy for ERP and WFM at Advocate Health. Overseeing AI - driven initiatives and facilitating collaboration across various teams.
Technical Project/Program Manager at Fidelity leading medium to largescale technology projects and driving strategic outcomes across Product and Technology teams.
Mid - Level ABA Therapy Program Manager at a clinician - owned ABA agency serving children in Northern California. Responsible for clinical supervision, treatment planning, and caregiver training.
Mid - Level Program Manager for ABA therapy at CCBS, a clinician - owned agency. Overseeing clinical responsibilities and providing Fieldwork supervision for BCBA certification.
Mid - Level ABA Therapy Program Manager overseeing clinician responsibilities at CCBS, an ABA agency in California. Supporting children with developmental differences through innovative ABA methods and hands - on experience.
Mid - Level ABA Therapy Program Manager role for a clinician - owned ABA agency serving children with developmental differences. Involves caregiver training, treatment planning, and supervising BTs and RBTs.
Mid - Level ABA Therapy Program Manager at CCBS, overseeing caregiver training and collaborating with BCBAs across various settings. Managing a caseload of BTs and RBTs for practical fieldwork experience.
Mid - Level ABA Therapy Program Manager for clinician - owned ABA agency in Northern California. Handling clinical responsibilities while supervising a team of Behavior Technicians and collaborating with BCBAs.