Description
SHIFT: Day Job
SCHEDULE: Full-time
Be part of an extraordinary team:
We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action, and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?
Location: United States, Remote
Build the Possibilities. Make an extraordinary impact:
Primary duties may include, but are not limited to: - Receives provider applications and contacts providers for any additional supporting documentation or clarification. - Builds file documentation and prepares file for credentialing committee review. - Applies general guidelines in determining whether provider meets criteria and documents deficiencies. - Prepares correspondence to providers regarding status. Assists in researching pended and probated applications and resolving discrepancies. - Refers non-approved providers or questionable situations to senior representative. - May assist in provider education and preparation of provider training materials.
How you will make an impact:
The Credential Specialist builds provider credentials file and makes file determinations regarding required credentialing criteria based on general guidelines, ensuring compliance with internal policies and external regulatory agencies.
Qualifications
Minimum Requirements:
- Requires high school diploma or GED. - A minimum of 1 year of credentialing or related experience; or any combination of education and experience, which would provide an equivalent background.
Preferred Skills, Capabilities, and Experiences:
- CAQH experience preferred. - 1-3 years of credentialing experience.
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.
The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.
Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com.
Anthem is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.
REQNUMBER: PS71327
