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STARS Strategy Innovation Director Sr

Anthem, Inc.

This is a Full-time position in Pittsburgh, PA posted March 4, 2021.

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Location: Pittsburgh, PA
Job Family: Marketing
Req #: PS40141-2608
Date Posted: Feb 24, 2021

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re 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.

This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America’s leading health care companies and a Fortune Top 50 Company.

Work Location – Open to US, eligible to report from any Anthem office

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 (e.g. 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 (e.g. 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 (e.g. 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 (e.g. creating innovative products/programs, increasing specific STARS results across the Anthem footprint).

Qualifications

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.
 

Applicable to Colorado Applicants Only
Annual Salary Range*: $166,236 – $207,795 
Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. 
* The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be 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. 
 
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. An Equal Opportunity Employer/Disability/Veteran.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
 

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.

EEO is the Law

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at [email protected] for further assistance.

*WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the ‘Rip-offs and Imposter Scams’ option. Anthem requires a completed online application for consideration of employment for any position.