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 structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Please note that per our policy on hybrid/virtual work, candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.

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 client facing programs that is multi-state, multi-function and multi-year in scope. The Program director will 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 when 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 aware of industry trends
• 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 the tracking and reporting of the program’s success
• Provides leadership to program managers and project managers Typically reports to an executive
• Program directors typically manage external client facing programs that require managing activities and resources of multiple departments or business areas of the organization

Requires a BA/BS and minimum of 10 years experience in external client facing program management, project management; complex business processes, strategic and business planning; or any combination of education and experience, which would provide an equivalent background.

• Experience with OON repricing programs at payor or vendor.
• MBA preferred.
• Project management certification (PMP).

For candidates working in person or virtually in the below locations, the salary
* range for this specific position is $121,176 to $190,026

Location(s):
California, Minnesota

In addition to your salary, Elevance Health offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (all benefits are subject to eligibility requirements). The salary offered for this specific position is based on a number of legitimate, non-discriminatory factors set by the Company. The Company is fully committed to ensuring equal pay opportunities for equal work regardless of gender, race, or any other category protected by federal, state, and local pay equity laws.

• The salary range is the range Elevance Health in good faith believes is the range of possible compensation for this role at the time of this posting. This range may be modified in the future and actual compensation may vary from posting based on geographic location, work experience, education, and/or skill level. Even within the range, the actual compensation will vary depending on the above factors as well as market/business considerations.
  
  No amount is wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

Please…