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Charlotte, NC Full Time Posted by: Anthem Posted: Tuesday, 2 March 2021

Responsible for developing and driving the enterprise wide Medicare Star rating strategy and implementation through evaluating strategies, external capabilities and vendors to help drive best-in-industry Medicare Stars performance. Responsible for identifying innovative strategies to set market leading performance for Anthem across all Medicare Stars dimensions. Must have deep industry connections to cutting edge strategies and external partners that can accelerate and maintain Anthem as an industry leader in Medicare Stars. Works collaboratively with Stars leaders and Medicare local leadership to establish baseline capabilities and develop strategies for capability enhancement. Extensive market knowledge and research capability is necessary to best be able to evaluate opportunities. Collaborates and coordinates work with peers, other departments within Medicare, and matrix/shared service partners (including but not limited to Pharmacy, Quality, Innovation, Digital Operations, Actuarial, IT, and HCM). Primary duties to include, but are not limited to:

Defines the strategy and works directly with internal and external entities to influence and provide guidance and direction on the strategy, design, and implementation of products or processes (eg improving STARS performance).
Serves as the subject matter expert and primary Product Development contact across the enterprise and for all Regional Medicare and Medicaid Plan Presidents.
Influences, coordinates, and facilitates enterprise product/process innovation and product/process development activities (eg evaluating internal/external capabilities, identifying market leading performance strategies, creating product strategies, developing proposals), in partnership with the regional Market Innovation Directors.
Utilizes partnerships with Product Development Support team, industry connections and/or external partners to identify best practices and develop cutting edge strategies.
Develops a 3 to 5 year product strategy and plan for the specific business products and/or processes (STARS performance).
Collaborates and coordinates work with peers, other departments within Medicare, and matrix/shared service partners (eg Finance, Actuarial, IT, Digital Operations, Quality, Pharmacy, HCM, CSBD, CAO, and IngenioRx) to identify capability enhancements and innovative solutions, establish accountabilities and ensure connectivity between shared services and enterprise business initiatives (eg creating innovative products/programs, increasing specific STARS results across the Anthem footprint).


Requires a BA/BS degree; 10 years of product management, Medicare, and Medicaid experience; or any combination of education and experience, which would provide an equivalent background. Thorough Medicare and Medicaid knowledge required. Demonstrated results in three or more of the following areas required: Product Development, Innovation, Market Strategy, Market Research, Stars metric improvement or Risk Management. MBA preferred.

Charlotte, NC, United States of America
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3/2/2021 5:25:41 PM

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