Anthem Health Services Director - VA/Remote - PS7734 in Boston, Massachusetts

Health Services Director - VA/Remote - PS7734


Location: Virginia, United States

Field: Medical

Requisition #: PS7734

Post Date: 2 days ago

Health Services Director

Location: Remote/Virginia Preferred

The HealthServices Director is responsible for designing, implementing, directing and evaluating strategic clinical programs (CM/DM) to support clinical, quality-related or business goals for the company and business unit, ensuring care management improvements and operational excellence. Primary duties may include, but are not limited to:

  • Directs forecasting activitiesof the business unit focused on setting and achieving short and long-termstrategic goals.

  • Reports project status andprogress to senior management.

  • Ensures accuracy and timelinessof output and deliverables for assigned functional areas.

  • Implements and ensurescompliance with corporate management policies, practices, andprocedures.

  • Has fiscal responsibility forarea budgets.

  • Establishes relationships withbusiness users.

  • Participates with other seniormanagement to establish strategic plans and objectives (i.e. service leveltargets, financial targets, development and implementation of newprograms).

  • Delivers analyses and projectupdates to all areas requiring information for management reporting,analysis and executive decision making.


  • BA/BS; 7 years of relatedexperience; or any combination of education and experience, which wouldprovide an equivalent background.

  • Masters degreepreferred.

  • Required travel.

  • Case management experiencerequired.

  • Disease management experiencepreferred.

  • Experience with HRS and CareCompass desired.

  • Working knowledge of clinicalsystem platforms is required.

  • Working knowledge of standardclinical process flows required.

  • Routine on-site officecollaboration may be required.

  • Current unrestricted RN license"strongly preferred"

  • MS Office proficiencypreferred.

  • Excellent oral and writtencommunications skills required.

  • Ability to interact at allmanagement levels required.

  • Ability to functionindependently required.