Company Detail

Job Description

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?

Build the Possibilities. Make an extraordinary impact.

Responsible for serving as an expert in data analysis, reporting and formulating recommendations and providing guidance to other data analysts.

How you will make an impact:

• Creates and maintains databases to track business performance.

• Analyzes data and summarizes performance using summary statistical procedures.

• Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies.

• Creates and publishes periodic reports, as well as any necessary ad hoc reports.

• May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

• May make recommendations based upon data analysis.

• Provides analytic consultation to other business areas, leadership or external customers.

• Data analysis and reporting encompasses a much higher level of complexity.

Qualifications

Minimum Requirements

Requires a BS/BA degree in related field and a minimum of 5 years experience; or any combination of education and experience which would provide an equivalent background. Experience with relational databases and knowledge of query tools and statistical software is strongly preferred. Ability to manipulate large sets of data strongly preferred. Strong analytical, organizational, presentation, and problem solving skills strongly preferred. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

(CO Colorado Pay)

Applicable to Colorado Applicants Only

Annual Salary Range*: $82,000 - $103,000

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

  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: PS71360-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Build the Possibilities. Make an extraordinary impact.

Viewed as an expert in the development and execution of data mining analyses. This role involves the development of reporting solutions and also a heavy focus on developing repeatable analytics solutions, focused data analysis and outcomes, and meeting client service needs.

How you will make an impact:

• Undertakes complex assignments requiring additional specialized technical knowledge.

• Develops very complex and varied strategic report applications from a Data Warehouse.

• Establishes and communicates common goal and direction for team.

• Establishes and maintains advanced knowledge of data warehouse database design, data definitions, system capabilities, and data integrity issues.

• Acts as a source of direction, training and guidance for less experienced staff.

• Monitors project schedules and costs for own and other projects.

• Develops and supports very complex Data Warehouse-related applications for business areas requiring design and implementation of database tables.

• Conducts training on use of applications developed.

• This job is focused on spending time thinking about programming and how it would be used to design solutions.

Qualifications

Minimum Requirements:

Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

(CO Colorado Pay)

Applicable to Colorado Applicants Only

Annual Salary Range*: $105,000 - $158,000

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

  REQNUMBER: PS71643-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Responsible for the development and ongoing management of one or more multi-year internal client facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of internal client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional internal client facing program.

Primary duties may include, but are not limited to: - Manages and coordinates the development, approval, implementation and compliance of on-going internal client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day-to-day internal client facing business issues. - Research applicable subject matter practices and remains aware of industry trends. - Manages internal client facing relationships and partners with corporate and regional business areas. - Coordinate's training related to internal client facing program; develops program success measures and performs periodic assessments of program success.

Qualifications

- Requires a BA/BS and minimum of 5 years internal client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background. - Graduate degree preferred. - Project management certification preferred.

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: PS71106-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Prov Contract/CofC Analyst

Job Descriptions: Provides analytic support to higher level Analysts and Consultants in helping them run their programs and/or to support the contracting process. Primary duties may include, but are not limited to:

• Modifies existing analytical models to create predictive impact decision making tools and may build new models with assistance from higher level Analysts and Consultants as needed.

• Work closely with contracting team to build/ maintain/ update fee schedule related to our provider contracts.

• Performs varied data analyses which may include: post implementation analyses; retrospective data analyses; analyses to track both health risks and compliance which are critical means of managing long-term health costs; analyses to identify cost increases in medical services; analyses of practice patterns in relation to office visits, referral practices, and specialty care procedures to help identify strategies to control costs; pre-negotiation analysis to support development of defensible pricing strategies; and the measurement of the cost impact of various negotiation proposals to better forecast how pricing changes could affect the company's bottom line

Prov Contract/CofC Analyst Sr

Provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care. Primary duties may include, but are not limited to:

• Work closely with contracting team to build/ maintain/ update fee schedule related to our provider contracts.

• Performs varied data analyses which may include: developing moderately complex ROI models and performs healthcare cost analysis to identify strategies to control costs; preparing pre-negotiation analyses to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation proposals; researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; and projecting different cost of savings targets based upon various analytics.

• Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures and recommends policy changes and claim's system changes to pursue cost savings.

• Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable.

• Recommends standardized practices to optimize cost of care.

• Educates provider contractors on contracting analytics from a financial impact perspective.

• May recommend alternative contract language and may go on-site to provider premises during contract negotiations.

• Participates on project team involved with enterprise-wide initiatives.

Qualifications

Prov Contract/CofC Analyst

Job Qualifications:

• Requires BS/BA degree in Mathematics, Statistics, or related field and minimum of 2 years' experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience which would provide an equivalent background.

• Master's degree preferred.

• High level mastery of Excel required

• Minimum of 2 years' experience with SQL coding preferred

• SAS, Teradata experience preferred

Prov Contract/CofC Analyst Sr

• Requires BS/BA degree in Mathematics, Statistics, or related field and a minimum of 3 years' experience in broad-based analytical, managed care payor or provider environment as well as experience in statistical analysis and healthcare modeling; or any combination of education and experience which would provide an equivalent background.

• Master's degree preferred.

• High level mastery of Excel required

• Minimum of 2 years' experience with SQL coding preferred

• SAS, Teradata experience preferred

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: PS71636

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

National Government Services is a proud member of Anthem's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.

SCA Provider Enrollment Rep I - Part B

Locations : Targeting Indianapolis-IN, Harrisburg-PA, Denison-TX, Hingham-MA, Baltimore-MD, Syracuse-NY, and Shelbyville-KY. Other locations may be considered within a commutable distance to an office.

Training hours : 5-week training class, Monday-Friday, 8:30am - 5:00pm ET

Working hours : 8-hour shift starting as early as 6:00am ET

Pay : the pay for this position varies by location, is set by the Government, and is non-negotiable

Indianapolis, IN - $18.50/hr

Harrisburg, PA - $17.58/hr

Denison, TX - $17.58/hr.

Hingham, MA - $19.43/hr.

Baltimore, MD - $19.43/hr

Syracuse, NY - $18.50/hr

Shelbyville, KY- $17.58/hr

The hourly pay rate for the SCA Provider Enrollment Rep I-Part B position is provided above along with a $500.00 sign on bonus!

The SCA Provider Enrollment Rep I will be responsible for the accurate and timely processing of Part B provider enrollment applications .

Primary duties may include, but are not limited to:

• Assists in synchronization of data among multiple claims systems and application of business rules as they apply to each database.

• Validates the data to be housed on provider databases and ensuring adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.

Qualifications

Minimum Qualifications:

• Requires a H.S. diploma; or any combination of education and experience, which would provide an equivalent background.

  Preferred Qualifications:

• 1-3 years experience in claims processing, provider relations/customer service, or credentialing preferred.

  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: PS71523

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Group Underwriting Assistant

8940 Lyra Dr, Ste 300, Columbus, OH

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?

Build the Possibilities. Make an extraordinary impact.

The group underwriting assistant is responsible for performing routine but varied clerical duties in accordance with standard procedures.

Primary duties may include, but are not limited to:

• Receives, classifies, reconciles, consolidates and summarizes documents and information; processes and codes documents.

• Makes and receives phone calls to exchange information to accomplish tasks.

• Sets up and maintains records, logs and files.

• Compiles regular and special reports using established formats and procedures.

• Contacts customers, brokers or company associates to exchange information.

Qualifications

Requirements.

• High School diploma or GED; 2-3 years of related work experience; or any combination of education and experience, which would provide an equivalent background.

• Basic keyboard proficiency and familiarity with basic PC office software required.

  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: PS72214-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Description - External

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?

Responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

Primary duties may include, but are not limited to:

• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions.

• Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.

• Thoroughly documents inquiry outcomes for accurate tracking and analysis.

• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

• Researches and analyzes data to address operational challenges and customer service issues.

• Provides external and internal customers with requested information. Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.

• Uses computerized systems for tracking, information gathering and troubleshooting. Outbound calls are conducted in the ZipDrug business area.

Qualifications

Qualifications - External

Required to live within 50 miles of Winston-Salem office.

Requirements:

• Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experience:

• For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

  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: PS72008-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

HealthCore, Inc. works with life sciences companies, payers and providers, and government and academic organizations to provide real-world evidence in support of a wide variety of healthcare decisions. HealthCore is a proud member of the Anthem, Inc family of companies and delivers unparalleled clarity and actionable information to healthcare decision makers.

Director of Pharmacovigilance Operations

*The preferred location for this position is MA but other locations will be considered. Eligible for a remote work schedule.

Build the Possibilities. Make an extraordinary impact.

The Director of Pharmacovigilance is responsible for providing direction to the Pharmacovigilance department for adverse event case management, support of study teams and projects, oversight and maintenance of safety databases, and collaboration to support clinical research risk management and pharmacovigilance.

Provides direction and oversight of the Pharmacovigilance staff regarding adverse event case management, creation and maintenance of safety databases, and clinical event adjudication. Collaborates with management and project teams to support clinical research risk management and pharmacovigilance across all projects. Mentors, trains, supervises and oversees both the project staff performing these functions, as well as the deliverables we produce for our clients and sponsors.

How you will make an impact:

- Provide leadership, mentorship, and development of drug safety pharmacovigilance (PV) personnel - Assist with the ongoing review TFLs and AE data from ongoing studies to evaluate common AEs, lab abnormalities and summarize the results in the product safety reports in support of regulatory submission activities, signal detection and management activities, or in response to ad hoc safety inquiries from health authorities, track all safety related activities - Ensure that case processing activities are being completed accurately as per regulatory requirements - Ensures compliance and quality are maintained and issues are escalated appropriately and resolved - Contribute to preparation of relevant safety sections of clinical study reports, annual reports, expedited safety reports and other regulatory filing documents - Guide the PV team with global safety regulatory requirements to maintain current knowledge of regulatory safety reporting guidelines and implementing relevant guidelines into practices and procedures - Lead development and updates of case processing training materials such as standard operating procedures; lead team to create efficiencies and process improvements - Serve as PV point of contact internally and externally, as needed - Interface with sponsor Safety Teams and Investigators on key deliverables - Hire, train, coach, counsel, and evaluate performances of direct reports

Qualifications

Minimum Requirements:

- Requires a BS in a life science, nursing, pharmacy or other healthcare related profession and a minimum of 5 years of direct pharmacovigilance work experience in the pharmaceutical industry and supervisory experience; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications:

- Advanced degree, preferred. - ICSR submission experience, preferred. - Solid understanding and working knowledge of US and ex-US pharmacovigilance regulatory requirements. - Knowledge of MedDRA and WHO Drug deliverables - Experience with overseeing and managing vendors - Experienced in pre- and post-approval pharmacovigilance activities, including safety reporting - Solid clinical knowledge and strong analytical ability to review, evaluate, interpret, and synthesize clinical and safety data - Strong written and verbal communication skills, organizational, analytical problem solving, and conflict resolution skills - Ability to work independently and to work interactively with multidisciplinary teams to facilitate results - Supervisory experience, preferred.

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: PS71390-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Technical Program Director

*This position can be located anywhere within a 50-mile radius of an Anthem office

Build the Possibilities. Make an extraordinary impact. As a Technical Program Director, you will provide leadership for multiple large/strategic enterprise-wide programs made up of multiple projects. Manages projects of at least $20M+ in size or equal complexity. Typically reports to an executive.

How you will make an impact: - Provides strategic planning analysis to ELT concerning staffing needs on a short to long-term basis based on program projections. - Provides strategic direction for developing enterprise project plans specifying goals, strategy, staffing, scheduling, identification of risk, contingency plan, and allocation of resources. - Provides expert knowledge of project management methodology approaches, techniques, and tools to senior management. - Directs system analysts, software designers, and programmers to determine the best methods to achieve project objectives. - Coaches and mentors project team members; mentors other project managers around project management methodology; determines project scope.

Qualifications

Minimum Requirements:

- Requires a BA/BS degree in Information Technology, Computer Science, or related field of study and a minimum of 15 years of enterprise project management experience in broad-based information systems managing increasing project size and complexity that are transformational in nature for the organization, full life-cycle application development and/or building enterprise applications; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

- Requires experience in an effective team environment, building strong relationships, negotiation, solving problems and issues, resolving conflicts, managing resources in a matrix environment, communicating and influencing effectively at all levels of an organization required, and/or data warehouse planning and development. - Ideal candidate will have experience in large scale corporate acquisitions or integrations. - Experience in coaching and mentoring project team members is strongly preferred. - Experience using portfolio management applications and Rational tools strongly preferred. - Project management certification (PMP) is strongly preferred.

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: PS71489

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Build the Possibilities. Make an extraordinary impact.

Y ou will be responsible for participating in all phases of the design and development life cycle of analytic applications and reporting tools, utilizing various BI technology platforms. The successful candidate will be a subject matter expert on one or more Business Intelligence applications, or have experience will multiple BI tools. Multi database, multi-language, or multi business application experience is also preferable.

How you will make an impact: :

• Maintains active relationships with customers to determine business requirements.

• Anticipates opportunities for improvement and identifies alternate solutions.

• Collaborates with engineers for creative ideas for Web portals supporting interactive content, analyzes and classifies complex change request and reviews and evaluates possible enhancements.

• Works with development team to develop and define application scope and objectives and prepare functional and/or technical specifications.

• Analyzes and evaluates detailed business and technical requirements.

• Codes and maintains complex components of information systems.

• Mentors others on coding standards and performs code reviews.

• Develops and performs system testing and fixes defects identified during testing and re-executes unit tests to validate results.

• Aids in integrating activities with other IT departments for successful implementation and support of project efforts.

• Provides timely support to data information planning effort. Maintains technical development environment and has responsibility for implementation plan.

• Assist in developing training documentation including proactive identification of additional needs and enhancements.

• Manages small and large projects, mentors and provides training to others.

Qualifications

Minimum Requirements:

Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 7 years related experience; multi platform, multi-dimensional experience, and expert level experience with business and technical applications; or any combination of education and experience, which would provide an equivalent background. Experience mentoring others and provide troubleshooting support strongly preferred. Multi database and/or multi language strongly preferred. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

Preferred Skills, Capabilities and Experiences:

• Advanced SQL, Hadoop/Impala/Hive (HDFS framework)

• Proficient with Spark/Scala, Advanced knowledge preferred

• Informatica

• Teradata

• MS SQL Server

• AWS

• Oracle

• Excellent verbal and written communication

• Ability to communicate complex requirements into simple, understandable business terms

  (CO Colorado Pay)

  Applicable to Colorado Applicants Only

  Annual Salary Range*: $115,000 - $144,600

  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

  REQNUMBER: PS69010-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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: Remote

Responsible for providing quality, accessible and comprehensive service to the company's provider community.

• Develops and maintains positive provider relationships with provider community by regular on-site and/or virtual/digital visits, communicating administrative and programmatic changes, and facilitating, education and the resolution of provider issues.

• Serves as a knowledge and resource expert regarding the most complex provider issues impacting provider satisfaction; researches and resolves the most complex provider issues and appeals for prompt resolution.

• Works with internal matrix partners to triage issues and submit work requests.

• Is assigned higher level, Tier 1/Platinum providers, but will handle Tier 2's as well.

• Functions as a high level technical resource to resolve or facilitate complex provider issues. Coordinates Joint Operation Committees (JOC) of Tier 1 /Platinum provider groups, driving the meetings in the discussion of issues and changes.

• Provides assistance regarding Annual Provider Satisfaction Surveys and required corrective action plan implementation and monitoring, education, contract questions and non-routine claim issues.

• Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns.

• Coordinates Provider Manual updates/maintenance.

• Organizes and executes external Provider Townhalls/Seminars and attends State Association conferences (e.g.: MGMA, AFP, AAP, HFMA).

• Coordinates prompt claims resolution through direct contact with providers, claims, pricing and medical management department. Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery.

• Researches issues that may impact future provider negotiations or jeopardize network retention.

Qualifications

Minimum Qualification:

• Requires a Bachelor's degree; minimum of 3 years of customer service experience including 2 years of experience in a healthcare or provider environment; or any combination of education and experience, which would provide an equivalent background.

• Travel may be required.

  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: PS71303-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Receives a moderate level of guidance and direction in providing operational and administrative support for the implementation, auditing and resolution of loading issues for payment innovation programs.

Primary duties may include, but are not limited to:

• Provides support for assigned provider contracts.

• Obtains and analyzes financial performance and quality metrics.

• Support and facilitates value based JOCs (Joint Operating Committee meetings).

• Develops and maintains contact database and disseminates communications to providers as necessary.

• Aggregate and analyze provider data form various sources to recommend and implement solutions to assist with provider collaboration activities.

• Collaborates with provider contractors and network relations reps to meet provider service needs.

• Encourages providers to act on patient outreach opportunities.

• Continues to build knowledge of the organization, processes and customers.

• Performs a range of mainly straightforward assignments.

Qualifications

Minimum Qualifications:

• Requires a BA/BS degree and a minimum of 3 years' experience in data base maintenance related to health care; or any combination of education and experience, which would provide an equivalent background. Provider environment experience strongly preferred.

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: PS70906-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Account Mgmt Executive Sr-BH/EAP Work Location: One of the following Anthem states - California, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, Wisconsin; may consider other locations for the most qualified applicant. 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? Responsible for leading Behavioral Health (BH) and Emotional Well-Being Strategy Development for the company's largest and most complex clients (typically 25,000 and larger) including being responsible for developing and implementing strategic and tactical road maps for BH and EAP as part of comprehensive whole person strategy. Leads the development and implementation of innovative solution offerings with related marketing, sales, growth, and retention strategies to drive market adoption of these services across all clients, market segments and/or geographic areas. Primary duties may include, but are not limited to: Provides strategic consultative guidance and serves as EAP/BH lead point of contact in serving the company's largest and most complex clients. Directs comprehensive analysis of behavioral health and emotional well-being data, client business priorities, and workforce health issues to develop client-specific behavioral health and emotional well-being strategies and financial impact. Collaborates with Client Management team to deliver exceptional service. Leads high value National initiatives that drive and support BH-EAP business retention and growth, increase market visibility; and improve operational efficiency and effectiveness. Collaborates with key business and external partners to drive improved service delivery and performance on behalf of our entire client base. Has direct responsibility for retention and growth of BH and EAP business and contributing to the development of overarching sales strategies for new business opportunities and for new solution offerings while also directly participating in specific new client pursuits. Serves as a primary Behavioral Health, Emotional Well-Being and EAP subject matter expert to support the growth of the company's broader medical and specialty businesses. Responsible for directing and supporting the annual meeting and renewal process for accounts managed by EAP Account Managers, including underwriting negotiation, preparation of renewal analysis, and client presentations. Provides mentorship to EAP Account Managers aligned with the BH-EAP Sales and Account Management team's vision and mission.

Qualifications

Minimum Qualifications Requires MA/MS in Social Work, Psychology or strongly related health field and minimum of 10 years of experience in account management and/or sales and minimum of 3 years of leadership experience; or any combination of education and experience, which would provide an equivalent background. Preferred Qualifications Business degree preferred. Licensed Clinical Social Worker (LCSW) or Licensed Professional Counselor (LPC) preferred. Health related certifications preferred. Prior experience working with behavioral health vendors including carriers, specialty vendors and data analytic vendors preferred. Prior experience leading cross-disciplinary teams is also preferred.

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: PS72045-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

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: Remote

Provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues. Works on large scale initiatives with high dollar cost savings opportunities. Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process. Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals. Supports a full range of contract arrangements and pricing mechanisms. Works on complex enterprise-wide initiatives and acts as project lead.

Primary duties may include, but are not limited to:

Uses analytic tools to track both health risks and compliance, as well as supporting the contract negotiation process.

• Types of analyses include performing sophisticated retrospective data analytics; building new and modifying existing complex models to create predictive impact decision making tools; performing healthcare cost analysis to identify strategies to control costs; projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis; preparing pre-negotiation analysis to support development of defensible pricing strategies; performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic; measuring and evaluating the cost impact of various negotiation; researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates; and projects different cost of savings targets based upon various analytics.

• Identifies cost of care savings opportunities by analyzing practice patterns in relation to office visits, referral practices, and specialty care procedures.

• Recommends policy changes and claim's system changes to pursue cost savings.

• Reviews results post-implementation to ensure projected cost savings are realized and recommends modifications as applicable. Recommends standardized practices to optimize cost of care.

• Educates provider contractors on contracting analytics from a financial impact perspective. May recommend alternative contract language and may go on-site to provider premises during contract negotiations. Participates on project team involved with enterprise wide initiatives.

• Acts as a source of direction, training and guidance for less experienced staff.

Qualifications

Minimum Requirements

• Requires BS/BA degree in Mathematics, Statistics, or related field; minimum of 5 years experience in broad-based analytical, managed care payor or provider environment; considerable experience in statistical analysis and healthcare modeling; or any combination of education and experience, which would provide an equivalent background.

• Master's degree preferred.

  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: PS71827-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Location: Remote, but must be willing to accomodate west coast (PST) hours as needed.

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?

Build the possibilities. Make an extraordinary impact:

Responsible for directing claims processing, claims adjustments, provider disputes. Oversight includes the processing of all claim types for health plan clients.

How you will make an impact:

• Provides guidance on the most complex claims.

• Develops short/long-term objectives and continually monitors procedures to ensure these are met by staff.

• Stays abreast of state/federal regulations.

• Staff is typically located in multiple sites and/or states and utilizes multiple systems.

• Position requires significant and regular external contact with customers or agencies.

• Has significant budget accountability and manages special projects.

• Management duties to include hiring, training, coaching, counseling and evaluating performance of direct reports.

Qualifications

Minimum Requirements:

• Requires BA/BS

• Minimum of 9 + years of professional/leadership experience or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• MA/MBA preferred.

• Excellent analytical ability, written, oral and interpersonal communication skills, negotiation skills, PC skills, advanced strategic planning, organizational, managerial and leadership skills strongly preferred.

• Medicare knowledge strongly preferred.

  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: PS72083-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Title: Business Analyst I, Business Analyst II, Business Analyst III, Business Consultant (Job Family) * Please note: this position may be filled at either a I, II, III or Consultant level. The hiring manager will determine level, based on the candidate's experience and background. *

Location: MA|ME|NY|VA|GA|FL|OH|IL|TX|CA

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?

Build the Possibilities. Make an extraordinary impact. The Business Consultant is responsible for translating moderately complex and varied business needs into application software requirements. Possesses full technical knowledge of most phases of systems and business analysis and is able to consider the business implications of the application of technology to current and future business environments.

How you will make an impact: - May lead teams of analysts assigned to complex projects. - Determines specific business application software requirements to address complex and varied business needs. - Analyzes and designs solutions to address complex and varied business needs. - Consults with business partners concerning application and implementation of technology.

Qualifications

Minimum Requirements:

Business Analyst I - Requires a HS diploma or equivalent and minimum of 5 years related health care experience that includes work flow design, data analysis, and/or systems automation and testing; or any combination of education and experience, which would provide an equivalent background. BA/BS degree preferred. Business Analyst II - Requires a BA/BS and minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background. Business Analyst III - Requires a BA/BS and minimum of 5 years business analysis experience; or any combination of education and experience which would provide an equivalent background. Business Consultant - Requires a BA/BS and minimum of 8 years business analysis experience, which should include analysis and project management; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities and Experiences - Knowledge of systems capabilities and business operations is strongly preferred - System Development Life Cycle (SDLC) experience preferred - Healthcare knowledge with providers and members preferred

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: PS71305

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Responsible for value-based contracting and program support, provider relationship development/management, and providing operational support for the implementation, auditing, and resolution of loading issues for payment innovation programs. This position supports all lines of business including Commercial, Medicare Advantage, and Medicaid value-based products.

Primary duties may include, but are not limited to:

• Provides support for assigned provider contracts.

• Manages and oversees the value based program operational and provider support processes.

• Obtains and analyzes financial performance quality metrics and reports to providers on the impact to performance.

• Supports and facilitates value based JOCs (Joint Operating Committee meetings).

• Develops and maintains contact database and disseminates communications to providers as necessary.

• Aggregates and analyzes provider data from various sources to recommend and implement solutions to assist with provider collaboration activities.

• Collaborates with provider contractors and network relations reps, Care Delivery Transformation team, and Quality Management team to support practice transformation.

• Encourages providers to act on patient outreach opportunities.

Qualifications

Minimum Requirements:

• Requires a BA/BS degree a minimum of 5 years' experience in database maintenance related to health care; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Strongly prefer experience in provider network relations and/or contracting, value-based contracting, payer relations, practice management, project management, data analytics related to health care; or any combination of education and experience, which would provide an equivalent background.

• Ability to function in a fast-paced, highly matrixed environment.

• Strong organizational skills and ability to effectively work independently while also being a team player.

• Provider practice, Medicare, Medicaid experience preferred.

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: PS71200-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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: Remote

Responsible for participating in all phases of the development and maintenance life cycle, typically for an assigned business unit, client program, or corporate department and utilizing various customer technology platforms.

Primary duties may include, but are not limited to:

• Develops relationships with the business to better understand business requirements.

• Develops knowledge in change request process and develops exhibits and other materials, under supervision.

• Assists in documenting limited business and technical requirements and coding of system components.

• Assists in developing unit test plans and is given specific tasks to support implementation plan.

• Develops the ability to provide on-call support and monitor the system.

• Facilitates small groups in peer code reviews and participates in vendor evaluation.

Qualifications

Minimum Qualification:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study.

• Experience with one database, one language and one business application is strongly preferred.

• Business application experience strongly preferred.

  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: PS71688

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

National Government Services is a proud member of Anthem's family of brands. We administer government contracts for Medicare and partner with the Centers for Medicare and Medicaid Services to transform federal health programs.

$2000 Sign on Bonus

Hours: Monday through Friday 10 a.m. - 6:30 p.m. EST.

Location: Remote (Within 2 hours of an Anthem office)

How you will make an Impact:

The Nurse Case Manager I or Nurse Case Manger II position is responsible for care management within the scope of licensure for members with complex and chronic care needs by assessing, developing, implementing, coordinating, monitoring, and evaluating care plans designed to optimize member health care across the care continuum. Performs duties telephonically or on-site such as at hospitals for discharge planning.

Primary duties may include, but are not limited to:

• Ensures member access to services appropriate to their health needs.

• Conducts assessments to identify individual needs and a specific care management plan to address objectives and goals as identified during assessment.

• Implements care plan by facilitating authorizations/referrals as appropriate within benefits structure or through extra-contractual arrangements.

• Coordinates internal and external resources to meet identified needs.

• Monitors and evaluates effectiveness of the care management plan and modifies as necessary.

• Interfaces with Medical Directors and Physician Advisors on the development of care management treatment plans.

• Negotiates rates of reimbursement, as applicable.

• Assists in problem solving with providers, claims or service issues. Assists with development of utilization/care management policies and procedures.

Qualifications

Nurse Case Manager I

Minimum Qualifications

• Requires a BA/BS in a health-related field; 3 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

• Current, unrestricted RN license in the state you reside required.

• Multi-state licensure is required if this individual is providing services in multiple states.

Preferred Skills, Capabilities, and Experiences:

• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

• Knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred.

• Prior managed care experience strongly preferred.

• Case Management experience preferred.

• Certification as a Case Manager preferred.

Nurse Case Manager II

Minimum Qualifications:

• Requires BA/BS in a health-related field and minimum of 5 years of clinical experience; or any combination of education and experience, which would provide an equivalent background.

• Current, unrestricted RN license in applicable state(s) required.

• Multi-state licensure is required if this individual is providing services in multiple states.

Preferred Skills, Capabilities, and Experiences:

• Certification as a Case Manager is preferred.

• BS in a health or human services related field preferred.

• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

• Knowledge of medical management process and ability to interpret and apply member contracts, member benefits, and managed care products strongly preferred.

• Prior managed care experience strongly preferred

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: PS72457-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

How you will make an impact:

• Assesses current practice patterns, assets and challenges utilizing Standards, HEDIS audits, site reviews and medical records reviews.

• In partnership with the OB provider, evaluates results of the initial assessment.

• Establishes a project plan with the practice that establishes goals and objectives for improvement.

• Provides ongoing practice support and sustains the partnership. Establishes regular meetings to track progress.

• Improves the understanding and sensitivity to the unique needs of this population and the care givers.

• Ensures OB providers are offering evidenced-based care to members and driving quality improvement

Qualifications

Minimum Requirements:

• Requires an ASN in nursing.

• Requires 5 years of managed care experience.

• Requires minimum of 2 years of clinical experience.

• Requires minimum of 2 years of professional presentations to small and large audiences; or any combination of education and experience, which would provide an equivalent background.

• Current, unrestricted clinical license appropriate to field of specialty (LVN/LPN, RN, NP, PA, LCSW, LSW as required.

  Preferred Skills

• BSN strongly preferred.

• Managed care experience strongly preferred.

  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 has been named as a Fortune 100 Best Companies to Work ForR, one of the 2021 World's Most Admired Companies by Fortune magazine, and a 2021 America's Best Employers for Diversity by Forbes. When you join our team, we will leverage our resources to help you make an extraordinary impact on people and grow a rewarding career in the process. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

  REQNUMBER: PS72092-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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: Remote

Responsible for participating in all phases of the development and maintenance life cycle, typically for an assigned business unit, client program, or corporate department and utilizing various customer technology platforms.

Primary duties may include, but are not limited to:

• Develops relationships with the business to better understand business requirements.

• Develops knowledge in change request process and develops exhibits and other materials, under supervision.

• Assists in documenting limited business and technical requirements and coding of system components.

• Assists in developing unit test plans and is given specific tasks to support implementation plan.

• Develops the ability to provide on-call support and monitor the system.

• Facilitates small groups in peer code reviews and participates in vendor evaluation.

Qualifications

Minimum Qualification:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study.

• Experience with one database, one language and one business application is strongly preferred.

• Business application experience strongly preferred.

  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: PS71688-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

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?

Responsible for successfully completing the required basic training. Able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. Must pass the appropriate pre-employment test battery.

Primary duties may include, but are not limited to:

• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility and claims. Analyzes problems and provides information/solutions.

• Operates a PC/image station to obtain and extract information; documents information, activities and changes in the database.

• Thoroughly documents inquiry outcomes for accurate tracking and analysis.

• Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

• Researches and analyzes data to address operational challenges and customer service issues.

• Provides external and internal customers with requested information. Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature.

• Uses computerized systems for tracking, information gathering and troubleshooting. Outbound calls are conducted in the ZipDrug business area.

Qualifications

Required to live within 50 miles of Winston-Salem office.

Requirements:

• Requires a HS diploma or equivalent and previous experience in an automated customer service environment; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experience:

• For URAC accredited areas, the following professional competencies apply: Associates in this role are expected to have strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

  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: PS71985-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Proposal Research Consultant - Pharmacy Benefit Management Location: Flexible - Work from Home

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? Responsible for managing subject matter content in the proposal library and related data sources to be used for completing Request for Proposals to accurately present the organization's capabilities to potential clients.

• Lead collaborative conference calls to drive deviation rates down

• Reporting and maintenance of deviation rates and metrics

• Ability to lead special department projects and work independently

• Serves as direct support and back up for all intake functions including but not limited to coordinating any missing information on initial submissions, developing and maintaining department reporting and metrics, supporting sales intake training, assisting with due dates and coordinating extensions to load balance where necessary, providing insight on assignments for work load balance for lead when OOO

• Trains medical sales/pharmacy on formal submission process.

• Assists in creating unique files and folders and worksites for each pharmacy opportunity that is assigned

• Responsible for development and maintenance of all department reporting including but not limited to volume and complexity

• Responsible for requesting and maintaining files for FOIA requests when required

• Assists to navigate and negotiate proposal due dates with matrix partners

Qualifications

Minimum Requirements:

Requires a BA/BS degree in a related field or business area and a minimum of 4 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications: Organizational skills required. Ability to work in fast paced environment. Ability to work independently, build relationships, work under tight deadlines. Prior healthcare industry experience strongly preferred. Strong technical and custom writing skills, as well as grammatical and editing skills strongly preferred.

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: PS72109-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Location - Flex 1 Alexandria, Virginia

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?

Build the Possibilities. Make an extraordinary impact. Anthem's Chief Experience Office seeks innovative, high-energy problem solvers to work with cross-functional teams as we reimagine the way we deliver exceptional consumer experiences.

The Project Leader supports root cause analytic experts, revolutionizing Anthem's consumer experiences. This role is integral in driving root cause analysis, project management, and facilitation of cross-functional work efforts to reimagine and redesign underlying consumer journeys, processes, and tools.

Primary responsibilities of the Project Leader include, but are no limited to:

• Supports strategic initiatives to evolve consumer experience and enhance effectiveness of the enterprise

• Applies project management methodologies, tools, and processes to small projects

• Performs regular and ad hoc (qualitative and quantitative) analyses

• Conducts root cause analysis of data, processes, and issues, identifies, and makes recommendations for improvements, and develops documentation

• Synthesizes data and discussions identifying key points and forming conclusions

• Communicates progress, issues, and barriers to internal partners

• Assists with materials creation and preparation for key executive meetings

Qualifications

• Requires a BS/BA degree in a related field; 1-3 years of experience as a member of a project team, or any combination of education and experience, which would provide an equivalent background

• Prior experience as an Anthem Solutions Analyst intern with Reimagine/CXO strongly preferred

• Data analysis and data visualization skills

• Ability to synthesize findings into recommendations

• Project coordination, including development of project plans, time management, risk management

• Excellent written and verbal communications

• Strong MS Excel and PowerPoint skills required

• Experience with MS Teams, Tableau and Visio preferred

  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 has been named as a Fortune 100 Best Companies to Work ForR, one of the 2021 World's Most Admired Companies by Fortune magazine, and a 2021 America's Best Employers for Diversity by Forbes. When you join our team, we will leverage our resources to help you make an extraordinary impact on people and grow a rewarding career in the process. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

  REQNUMBER: PS72274

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Wound Care UM RN Remote

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?

Responsible for performing pre-certification, certification and/or authorization activities for health services for members with wound care needs included as contracted services that meet eligibility and benefits coverage. Oversees members who have complex wound needs to determine if the member has the appropriate wound care for the type of wound. Identifies and monitors delivery of home-based services, responds to a member's total health needs and ensures the highest quality of continuity of care.

Primary duties may include, but are not limited to:

• Develops coordinated, collaborative care plans with all involved providers.

• Reviews Home based services for clinical appropriateness of the continued care.

• Performs reviews telephonically using the member's medical records, discussion with the member's physician and/or discussion with Home health agency staff.

• Contacts the home care agency and ordering physician to discuss changing the member plan of care for wound care.

• Promotes healing and decrease home care utilization.

• Responsible for certification determinations and sending written authorizations to referring physician and home health care provider.

• Requests additional clinical information from member's care providers as necessary.

• Facilitates timely discharges and transfers based on individual needs and care requirements.

• Educates patients to help them understand their health choices and assists them in making informed decisions about their health care.

• Serves as an information resource to patients, health care professionals, facilities, health plan representatives, care givers and family members.

• Monitors cost-effective use of resources and uses clinical expertise to make recommendations for alternate resources as needed.

• Refers requests that do not meet coverage guidelines criteria to Physician for review.

• Uses clinical judgment in authorizations that fall outside of guideline parameters.

Qualifications

Requirements:

• Requires RN license.

• Minimum of 5 years of experience in a variety of health care settings; or any combination of education and experience, which provides an equivalent background.

• Current, active, unrestricted RN license to practice as a health professional within the scope of practice in applicable state(s) or territory of the United States required.

• Certifications relevant to wound care, such as WOCN or CWS required.

• WOCNCB certification preferred.

• MY NEXUS experience preferred.

  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: PS69568

Job Detail

• Company:
  Anthem, Inc.