Director of Out-Of-Network Repricing Programs

Director of Out-Of-Network Repricing Programs This role emphasizes collaboration and connectivity by requiring associates to be in-office 3 days per week, while still providing flexibility for productivity and work-life balance. Candidates residing within a reasonable commuting distance from an office are encouraged to apply. The Director will be pivotal in the creation and management of the Anthem Health Plan Out-Of-Network repricing program, which is client-facing and spans multiple states, functions, and years. This role will focus on overseeing the Out-of-Network strategy, operations, and client interactions. What you will achieve in this role: Lead the development, planning, prioritization, and compliance of ongoing external client-facing programs. Establish program governance to ensure effective issue escalation; develop program budgets and confirm objectives are met. Provide subject matter expertise for day-to-day business challenges, conduct research on industry best practices, and stay updated on trends. Manage external client relationships and collaborate with corporate and regional business units. Craft communication documents and training criteria that align with success measures for external client-facing programs. Create documentation to support presentations and track the program's success metrics. Offer leadership to program and project managers, typically reporting to an executive level. Oversee external client-facing programs that require management of activities and resources across multiple organizational areas. Minimum Qualifications: A Bachelor’s degree with at least 10 years of experience in external client-facing program management, project management, complex business processes, or strategic planning is required; or any equivalent combination of education and experience. Preferred Skills and Experience: Experience with Out-Of-Network repricing programs at a payor or vendor level. Master of Business Administration (MBA) preferred. Project Management Professional (PMP) certification is a plus. The salary range for candidates working in-person or virtually in California and Minnesota is $121,176 to $190,026. If selected, you will also enjoy a comprehensive benefits package, including incentive programs, stock purchase options, and 401(k) contributions (subject to eligibility). We strive for equitable pay and uphold laws regarding pay equity for all job seekers. About Elevance Health: As a Fortune 25 health company, Elevance Health is dedicated to making healthcare simpler and improving lives across communities. We seek passionate leaders at all organizational levels to drive impact for our members and communities. Work Environment: We cultivate a culture aimed at fostering personal and professional growth, encouraging a values-driven and outcome-focused work environment. Our benefits include merit increases, holidays, paid time off, incentive bonus programs, and various health and financial resources. For specific positions, getting vaccinated against COVID-19 and Influenza is mandated. Any exceptions must be legally justified. Elevance Health is an Equal Employment Opportunity employer. All qualified applicants are encouraged to apply, regardless of various personal characteristics. We provide accommodations for applicants who need assistance during the process.

Created: 2026-03-12