Healthcare - Nursing
2 Barnard Ave
Clinical Account Director Sr (RN/NP/PA Licensed) PS22796
**Location:** **United States**
**Requisition #:** PS22796
**Post Date:** Jun 12, 2019
Your Talent. Our Vision. At **Anthem, Inc.,** its a powerful combination, and the foundation upon which were creating greater access to care for our members, greater value for our customers, and greater health for our communities.
Join us and together we will drive the future of health care.
**Clinical Account Director Senior - PS22796**
Responsible for clinical account management of an assigned group of large (80% 5K+, 20% 1-5K segment) and complex clients.
Primary duties may include, but are not limited to:
Collaborates with clinical and financial analysis programs leaders to develop and refine program evaluation metrics to assist in determining the drivers of health care costs for client accounts.
Evaluates and presents clinical program and financial reports and makes recommendations to the client regarding ways to increase the health of the worker population while reducing healthcare costs.
Partners with client leaders and account executives to design benefits and programs which reduce costs without sacrificing the quality of care.
Participates in the development of clinical performance guarantees for assigned clients.
Builds effective relationships with internal and external stakeholders.
Implements and integrates complex clinical programs using project management principles.
Understands business processes and proactively identifies the need for creative and innovative changes to processes to support client needs.
Identifies need for and develops new policies, procedures, or operational guidelines within clinical account management.
Functions as a preceptor for new Clinical Program Director staff.
Participates in finalist presentations as requested.
Independently able to respond to RFPs.
Requires a BS in nursing or other health-related field; 10 years of related experience; or any combination of education and experience, which would provide an equivalent background.
** Current active unrestricted RN, NP, or PA licensure in the state of residency strongly preferred.**
Advanced education preferred.
Requires operational knowledge and subject matter expertise on a broad spectrum of medical/care management functions.
Managed Care Experience Preferred.
Proficient with MS Office (Excel and Powerpoint required).
Excellent oral and written communication skills.
Strong strategic thinking and analytical skills.
Candidate must be task and project-oriented with an excellent sense of priority, logic and objectivity
Seeks out opportunities for process improvements/efficiencies, and supports business initiatives.
Masters degree preferred.
Travel for client management and support will be required in this role.
**_Anthem, Inc. is ranked as one of Americas Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran._**
Associated topics: care nurse, clinic, clinical, cnm, community, family nurse practioner, practitioner, rnp, spanish, specialist
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.
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