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. Join our team as our next Medical Director on our Commercial Team!

Remote Opportunity - Monday through Friday 8 a.m. - 5 p.m. EST - 1:8 Weekend Call

May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.

May be responsible for an entire clinical program. Primary duties may include, but are not limited to:

• Supports clinicians to ensure timely and consistent responses to members and providers.

• Provides guidance for clinical operational aspects of a program.

• Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.

• May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.

• Serves as a resource and consultant to other areas of the company.

• May be required to represent the company to external entities and/or serve on internal and/or external committees.

• May chair company committees. Interprets medical policies and clinical guidelines.

• May develop and propose new medical policies based on changes in healthcare.

• Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

• Identifies and develops opportunities for innovation to increase effectiveness and quality.

• Works independently with oversight from immediate manager.

• May be responsible for an entire clinical program and independently performs clinical reviews.

• The Medical Director typically has program management responsibilities including program development/implementation, and overseeing clinical/non-clinical activities.

Qualifications

Minimum Requirements;

• Requires MD or DO

• Board certification in Pediatrics or Internal Medicine Pediatrics or Neonatal Perinatal approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).

• Must possess an active unrestricted medical license to practice medicine or a health profession in Virginia or willing to apply for one.

• For Health Solutions organization (including Behavioral Health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.

• 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.

• 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 Requirements:

• Virginia Residency a plus

  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: PS71300

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. Join our team as our next Medical Director on our Commercial Team!

Remote Opportunity - Monday through Friday 8 a.m. - 5 p.m. EST - 1:8 Weekend Call

May be responsible for developing and implementing programs to improve quality, cost, and outcomes. May provide clinical consultation and serve as clinical/strategic advisor to enhance clinical operations. May identify cost of care opportunities. May serve as a resource to staff including Medical Director Associates.

May be responsible for an entire clinical program. Primary duties may include, but are not limited to:

• Supports clinicians to ensure timely and consistent responses to members and providers.

• Provides guidance for clinical operational aspects of a program.

• Conducts peer-to-peer clinical reviews with attending physicians or other providers to discuss review determinations, and patients' office visits with providers and external physicians.

• May conduct peer-to-peer clinical appeal case reviews with attending physicians or other ordering providers to discuss review determinations.

• Serves as a resource and consultant to other areas of the company.

• May be required to represent the company to external entities and/or serve on internal and/or external committees.

• May chair company committees. Interprets medical policies and clinical guidelines.

• May develop and propose new medical policies based on changes in healthcare.

• Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes.

• Identifies and develops opportunities for innovation to increase effectiveness and quality.

• Works independently with oversight from immediate manager.

• May be responsible for an entire clinical program and independently performs clinical reviews.

• The Medical Director typically has program management responsibilities including program development/implementation, and overseeing clinical/non-clinical activities.

Qualifications

Minimum Requirements;

• Requires MD or DO

• Board certification in Pediatrics or Internal Medicine Pediatrics or Neonatal Perinatal approved by one of the following certifying boards is required, where applicable to duties being performed, American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA).

• Must possess an active unrestricted medical license to practice medicine or a health profession in Virginia or willing to apply for one.

• For Health Solutions organization (including Behavioral Health) only, minimum of 5 years of experience providing health care is required. Additional experience may be required by State contracts or regulations if the Medical Director is filing a role required by a State agency.

• 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.

• 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 Requirements:

• Virginia Residency a plus

  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: PS71300-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: 100% remote

Responsible for developing project plans and leading small projects to completion.

Primary duties may include, but are not limited to:

• Communicates progress, issues, and barriers, to internal and external customers.

• Conducts periodic status meetings.

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

• Researches, compiles, extrapolates and validates data used to forecast staffing needs and work flows, and/or resolve quality and other operational issues.

• Assists in managing project scope to ensure business needs are met and the project scope as defined in the project charter is delivered, identifying, documenting and raising requests for changes from original specifications.

• Communicate plans, status, and issues within the team, group, or project, including both IT and business members and management.

• Has basic understanding of project management methodology, tools & processes and able to apply to small projects.

Qualifications

Minimum Qualifications:

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

Preferred Qualifications:

• Basic understanding of project management methodology, tools & processes and able to apply to small projects is strongly preferred

• Familairity with CAS claims systems is highly preferred or AS400 is a plus

• 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.

  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: PS71961-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: 100% remote

Responsible for developing project plans and leading small projects to completion.

Primary duties may include, but are not limited to:

• Communicates progress, issues, and barriers, to internal and external customers.

• Conducts periodic status meetings.

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

• Researches, compiles, extrapolates and validates data used to forecast staffing needs and work flows, and/or resolve quality and other operational issues.

• Assists in managing project scope to ensure business needs are met and the project scope as defined in the project charter is delivered, identifying, documenting and raising requests for changes from original specifications.

• Communicate plans, status, and issues within the team, group, or project, including both IT and business members and management.

• Has basic understanding of project management methodology, tools & processes and able to apply to small projects.

Qualifications

Minimum Qualifications:

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

Preferred Qualifications:

• Basic understanding of project management methodology, tools & processes and able to apply to small projects is strongly preferred

• Familairity with CAS claims systems is highly preferred or AS400 is a plus

• 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.

  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: PS71961-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?

Responsible for managing foundational and strategic compliance responsibilities with consistent excellence that supports the team and management.

Primary duties for this managing level position, with moderate to advanced complexity and broad/enterprise scale, may include, but are not limited to: - Manage/oversee compliance projects, initiatives, internal audits, risk assessments; audit planning, conducting mock audits, conducting training, managing audit evidence preparation, and assessing audit preparedness. - Establish project plans, gap analysis, milestone dates, and other significant aspects, and provide leadership updates. - Maintain knowledge of laws, regulations, and company strategies to assess impact, and consult with clients as a subject matter expert. - Conducts oversight and monitoring activities, document findings, and ensure corrective actions are made. Interface with external clients and internal stakeholders with a high level of management.

Qualifications

- Requires a BA/BS and minimum of 6 years health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background. - MS/MBA/JD or professional designation 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: PS71852-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Clerk l

Mendota Heights, MN - 1285 Northland Dr

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 providing basic clerical activities in support of a department.

Primary duties may include, but are not limited to:

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

• Routinely files work, reports, etc. in case files and designated areas.

• Sorts, labels, alphabetizes documents/files, etc. for others to execute work effort.

• Extracts, sorts, preps, batches and routes documents within the company as needed.

• Operates camera/scanner and retrieves previously scanned information as needed.

• Copies incoming and outgoing correspondence.

Qualifications

Minimum Requirements

• Requires a HS diploma or the equivalent and a minimum of 6 months experience; or any combination of education and experience which would provide an equivalent background.

• Experience in operating basic equipment required. 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.

• $500 Sign-On Bonus!

  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: PS72013-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 supporting clinical regulatory compliance for a state, delegated entities, or enterprise-wide for designated lines of business through project leadership, technical oversight and risk identification and mitigation.

Primary duties may include, but are not limited to: - Serves as point of contact, coordinating and collaborating with regulatory bodies and business partners to ensure compliance with regulatory, accrediting and Health Plan quality of care and service requirements. - Assists with the interpretation of applicable laws and regulations. - Develops tools that assist in determining exposure to regulatory and/or accreditation risks. - Identifies opportunities to manage and mitigate those risks. - Works with business management areas to develop metrics for monitoring program objectives and policies and procedures that support compliance with regulatory and accreditation standards. - Compile's information related to quality improvement and compliance monitoring activities for internal use and external audits and maintains relevant records. - Provides guidance and oversight to business units to ensure ongoing regulatory or accreditation compliance and monitors corrective action plans relating to regulatory or accreditation compliance. - Makes recommendations to business unit partners for improvements or remediation to risk management, regulatory, and accreditation compliance programs. - Monitor's development and use of metrics for regulatory compliance. - Monitor's business unit initiatives relating to the development and implementation of a risk management program for utilization management activities. - Collaborates with enterprise quality team, enterprise care management, and other clinical teams on regulatory initiatives. - Creates audit tools, reports, standardized policies and procedures, and manuals. - Facilitates implementation of survey or regulatory recommendations. - Recommends new processes. - Trains associates on new and revised standards.

Qualifications

- Requires a BA/BS and minimum of 5 years professional experience, including minimum 3 years regulatory, compliance, accreditation, and/or auditing experience; or any combination of education and experience, which would provide an equivalent background. - Ability to travel may be required. - Knowledge of clinical regulatory requirements such as experience with CMS and state regulatory and accreditation requirements preferred. - Credentialing experience is 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: PS72123-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?

About the job:

The Engineer Sr. is responsible for delivery of end to end application, system development and maintenance on complex multi technology platforms within assigned client group, business unit or corporate department and utilizing various customer technology platforms.

Primary duties may include, but are not limited to:

• Maintains active relationships with customers to determine business requirements and leads requirements gathering meetings.

• Owns the change request process and may coordinate with other teams as necessary.

• Provides technical advice and weighs in on technical decisions that impact cross functional teams. Researches and may propose new technologies.

• Develops and owns list of final enhancements.

• Develops and defines application scope and objectives and prepares technical and/or functional specifications from with programs will be written.

• Performs technical design reviews and code reviews.

• May own technical testing to ensures unit test is completed and meets the test plan requirements, system testing is completed and system is implemented according to plan.

• Assesses current status and supports data information planning.

• Coordinates on-call support and ensures effective monitoring of system.

• Maintains technical development environment.

• Mentors others and may lead multiple or small to medium sized projects.

• Will begin to set direction at the project/service level and influences decision-making.

• Provides technical guidance, and mentoring.

• Understands the tradeoffs between technical, analytical and product needs of the technical solutions. Identifies and propose strategies around technical problems affecting team, communicates standards and gets buy-in on solutions.

• Facilitates group sessions to elicit complex information on requirements clarification, design sessions, code reviews and troubleshooting issues.

• Supports vendor evaluation.

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years related experience; multi dimensional platform experience; expert level experience with business and technical applications, or any combination of education and experience, which would provide an equivalent background.

• Multi database and/or multi language strongly preferred. Experience mentoring others, leading multiple small projects and providing troubleshooting support is 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: PS70615

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Star Provider Engagement Strategy & Program Development Director

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?

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

The Star Provider Engagement Strategy & Program Development Director is responsible for the development and ongoing management of one or more external client facing programs that are multi-state, multi-function and multi-year in scope. Program directors typically support business strategies through an integrated portfolio of external client facing programs, projects and initiatives.

How you will make an impact:

• Drive Strategic alignment across programs and with Provider Transformation Team

• Provider communications/education/marketing planning

• Provider experience partnership

• Lead development of progressive provider incentive framework

• Develop standard capability models to support providers in maturity to deliver on Star

• Standardized framework for Star-related provider engagement activities (gets deployed at regional level)

• Typically reports to an executive.

Qualifications

Requirements:

BA/BS degree in a related field and a minimum of 10 years of related experience including 5 years of leadership experience; or any combination of education and experience, which would provide an equivalent background.

Preferred qualifications:

Medicare Star background- highly preferred

Experience with Provider practice in a consultative role

Strategic- ability to define strategy for Providers

Ability to work with all levels within the enterprise

Ability to travel 10%

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: PS72242-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?

Behavioral Health Case Manager II

Location: Nashville, TN (services are currently being delivered remote/telephonically but wil return to member-facing so clinicians must be willing to travel to serve members in Bristol and surrounding counties)

Work Hours/Shift: 8:00am-5:00pm M-F (EST)

Licensure: LPC, LCSW, LMHC, LMFT or RN (Requires an active License which allows you to provide Mental Health services in Tennessee).

Duties & Responsibilities:

Responsible for performing case management telephonically and in-person within the scope of licensure for members with behavioral health and substance abuse or substance abuse disorder needs in Nashville and surrounding counties. Subject matter expert in targeted clinical areas of expertise such as Eating Disorders (ED) Maternity Alcohol / Drug Autism Spectrum Disorders (ASD) etc.

Primary duties may include but are not limited to:

• Uses appropriate screening criteria knowledge and clinical judgment to assess member needs.

• Conducts assessments to identify individual needs and develops specific care plans to address objectives and goals as identified during assessment.

• Monitors and evaluates effectiveness of care plan and modifies plan as needed.

• Supports member access to appropriate quality and cost-effective care.

• Coordinates with internal and external resources to meet identified needs of the members and collaborates with providers.

• Serves as a resource to other BH Case Mgrs.

• Participates in cross-functional teams, projects, and initiatives.

• Responds to more complex cases and account specific requests.

Qualifications

Required Qualifications:

• Requires MA/MS in counseling, social work or a related behavioral health field (or) a degree in nursing.

• Minimum of 3 years of clinical experience in social work, counseling with broad range of experience with behavioral health diagnosis, complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

• Current active unrestricted license such as LPC, LCSW, LMHC, LICSW, LMFT, RN, or Clinical Psychologist to practice as a licensed mental health service provider in Tennessee.

• Previous experience in case management and telephonic and/or in person coaching with members with a broad range of complex psychiatric/substance abuse and/or medical disorders.

• Managed care experience required.

• Experience in health coaching and motivational interviewing techniques preferred.

Preferred Qualifications:

• Prior experience providing in-person services to those with behavioral health diagnosis

• Candidates that live in the Nashville region that are familiar with the area

Benefits:

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: PS70397-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 supporting, clinical regulatory compliance for a state, delegated entities, or enterprise wide for designated lines of business through project leadership, technical oversight and risk identification and mitigation.

Primary duties may include, but are not limited to: - Serves as point of contact, coordinating and collaborating with regulatory bodies and business partners to ensure compliance with regulatory, accrediting and Health Plan quality of care and service requirements. - Assists with the interpretation of applicable laws and regulations. - Develops tools that assist in determining exposure to regulatory and/or accreditation risks. - Identifies opportunities to manage and mitigate those risks. - Works with business management areas to develop metrics for monitoring program objectives and policies and procedures that support compliance with regulatory and accreditation standards. - information related to quality improvement and compliance monitoring activities for internal use and external audits and maintains relevant records. - Monitors corrective action plans relating to regulatory or accreditation compliance. - Makes recommendations to business unit partners for improvements or remediation to risk management, regulatory, and accreditation compliance programs. - Monitor's development and use of metrics for regulatory compliance. - Monitor's business unit initiatives relating to the development and implementation of a risk management program for utilization management activities. - Collaborates with enterprise quality team, enterprise care management, and other clinical teams on regulatory initiatives. - Creates audit tools, reports, standardized policies and procedures, and manuals. Facilitates implementation of survey or regulatory recommendations. Recommends new processes.

Qualifications

- Requires a BA/BS and minimum of 3 years professional experience, including a minimum of 1 year quality, regulatory, compliance, accreditation, and/or auditing experience; or any combination of education and experience, which would provide an equivalent background - Ability to travel may be required. - Knowledge of clinical regulatory requirements such as experience with CMS and state regulatory and accreditation requirements preferred. - Credentialing experience is 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: PS72082-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?

About the job:

The Engineer Sr. is responsible for delivery of end to end application, system development and maintenance on complex multi technology platforms within assigned client group, business unit or corporate department and utilizing various customer technology platforms.

Primary duties may include, but are not limited to:

• Maintains active relationships with customers to determine business requirements and leads requirements gathering meetings.

• Owns the change request process and may coordinate with other teams as necessary.

• Provides technical advice and weighs in on technical decisions that impact cross functional teams. Researches and may propose new technologies.

• Develops and owns list of final enhancements.

• Develops and defines application scope and objectives and prepares technical and/or functional specifications from with programs will be written.

• Performs technical design reviews and code reviews.

• May own technical testing to ensures unit test is completed and meets the test plan requirements, system testing is completed and system is implemented according to plan.

• Assesses current status and supports data information planning.

• Coordinates on-call support and ensures effective monitoring of system.

• Maintains technical development environment.

• Mentors others and may lead multiple or small to medium sized projects.

• Will begin to set direction at the project/service level and influences decision-making.

• Provides technical guidance, and mentoring.

• Understands the tradeoffs between technical, analytical and product needs of the technical solutions. Identifies and propose strategies around technical problems affecting team, communicates standards and gets buy-in on solutions.

• Facilitates group sessions to elicit complex information on requirements clarification, design sessions, code reviews and troubleshooting issues.

• Supports vendor evaluation.

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years related experience; multi dimensional platform experience; expert level experience with business and technical applications, or any combination of education and experience, which would provide an equivalent background.

• Multi database and/or multi language strongly preferred. Experience mentoring others, leading multiple small projects and providing troubleshooting support is 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: PS70616

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?

"Telephonic- Nurse Case Manager I/II/Sr (Job Family)

Location: Remote

Hours: Business hours are Monday - Friday 8:00am to 8:00pm EST. 8 hour shifts will be determined.

This position requires an on-line pre-employment skills assessment. The assessment is free of charge and can be taken from any PC with Internet access. Candidates who meet the minimum requirements will be contacted via email with instructions. In order to move forward in the process, you must complete the assessment within 48 hours of receipt and meet the criteria.

How you will make an impact

Responsible for performing 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.

Qualifications

Nurse Case Mgr I

Minimum Requirements:

• 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 applicable state(s) required.

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

  Preferred Capabilities, Skills and Experiences:

• Minimum 2 years "telephonic" Case Management experience with a Managed Care Company.

• Minimum 2 years' experience in acute care setting.

• Certification as a Case Manager is preferred.

• Managed Care experience preferred.

• Ability to talk and type at the same time.

• Demonstrate critical thinking skills when interacting with members.

• Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly.

• Ability to manage, review and respond to emails/instant messages in a timely fashion.

  Nurse Case Mgr II

  Minimum Requirements:

• Requires a BA/BS in a health related field; 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 Capabilities, Skills and Experiences:

• Minimum 2 years "telephonic" Case Management experience with a Managed Care Company.

• Minimum 2 years' experience in acute care setting.

• Certification as a Case Manager is preferred.

• Managed Care experience preferred.

• Ability to talk and type at the same time.

• Demonstrate critical thinking skills when interacting with members.

• Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly.

• Ability to manage, review and respond to emails/instant messages in a timely fashion.

  Nurse Case Mgr Sr

  Minimum Requirements:

• Requires a BA/BS in a health related field; 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 Capabilities, Skills and Experiences:

• Minimum 2 years "telephonic" Case Management experience with a Managed Care Company.

• Minimum 2 years' experience in acute care setting.

• Certification as a Case Manager is preferred.

• Managed Care experience preferred.

• Ability to talk and type at the same time.

• Demonstrate critical thinking skills when interacting with members.

• Experience with (Microsoft Office) and/or ability to learn new computer programs/systems/software quickly.

• Ability to manage, review and respond to emails/instant messages in a timely fashion.

  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: PS72537

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?

The Staff Vice President, Customer Success is responsible for the retention and growth of Anthem as a client and will serve as the primary relationship owner across Anthem's Diversified Business Group (DBG) Business Units and internal Anthem clients (Medicare and Medicaid) at senior levels. S/he will maintain a broad understanding of the lines of business and products they support, and will direct a team of Client Executive and Client Manager to retain and grow the Anthem relationship.

Reports to Vice President Customer Success

Staff - A total team of eight, including three Client Managers and five Client Executives

Partners - Staff VPs of Business Units within DBG that serve Anthem as a customer; Product Leads

Customers - Anthem P/L Presidents, regional Presidents of Medicare and regional Presidents of Medicaid

Primary duties may include, but are not limited to:

• Decision maker for account line of business-related activities with sign off from matrix partners - Senior customer-facing relationship manager to Anthem as a client by line of business - Responsible for NPS and NPS improvement across DBG business units - Directs development and distribution of Anthem client reporting (KPIs, value, etc.) at all customer levels - Develops strategies and executes plans to identify, target, and to achieve goals in growth, profitability, retention, and strategic value. - Leads a team of client facing professionals - hires, trains, coaches and counsels. - Directs all sales, marketing and communications efforts in conjunction with applicable leaders across all Anthem customer channels while also ensuring direct alignment with the DBG business plan, solution roadmap, and ongoing client engagement activities. - Exceptional people leader with the ability to inspire and coach towards excellence - Strong customer service acumen, verbal and written communication abilities, drives clarity in ambiguous situations - Leads high level, complex work in a matrix environment - Personal accountability to meet goals and performance standards, courage to make difficult decisions and recommendations - Strategic thinking, reasoning and decision-making skills - Organizational awareness and business model knowledge - Influential leadership, fosters strong working relationships with other roles and functions, drives results across all direct and indirect reports - Drives culture of continuous improvement, engaging leadership through high-impact and complex change. - Demonstrated ability to deliver outstanding operating and financial results in a healthcare service

Qualifications

Qualifications

BA/BS degree and a minimum of 10 years of related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred

• A successful track record of selling specialty care/benefit management services and technology for leading healthcare companies to target customers is strongly preferred. - Demonstrated senior leadership capabilities across matrixed environment, capable of driving change to influence operational outcomes though influence. - Proven record of developing and defining relationships that drive organizational change/transformation initiatives, efficiency, and growth.

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: PS71884-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?

Patient Enrollment Specialist I

Locations: Open to ALL US States

$1,000/Sign-on Bonus

Build the possibilities. Make an extraordinary impact.

The Patient Enrollment Specialist is responsible for new patient acquisition. The role is critical to drive the growth of the organization and meet our enrollment commitments to our customers and partners. The role focuses on reaching out to prospective patients to explain Aspire's services, addressing a variety of inquiries, gathering feedback, and scheduling the initial in-home appointment.

The Patient Enrollment Specialist has an ability to react very quickly and be nimble in providing responses and meeting the needs of the patient and our internal team members in a timely, calm, and professional manner.

How you will make an impact:

You are the first person our newly referred patients interact with at Aspire. Your mission is to develop a deep level of trust for patients in the most vulnerable chapter of life, understanding their needs, engaging the patient on how Aspire can best support them & their families, and orchestrating the initial engagement with our clinical team.

• Major activities include:

• Making outbound calls for prospective patients and working to ensure the efficient scheduling of initial in-home appointments

• Ensuring that the patient receives a detailed explanation of Aspire's services

• Expedite emergency clinical calls as needed

• Process new appointments or changes to existing appointment

• Own, manage, convert, and enrolling an assigned referral base

• Ramp new Advance Practice Provider's census and maintain APPs at target census

• Schedule appointments at the -best time- by considering the needs of our patients within the context of the APP's overall schedule and availability

• Demonstrate compassion for individual needs, attention to detail, and collaborating with other team members are critical success factors of this role

• Demonstrate a high level of professionalism and continuous improvement while participating in the call quality monitoring processes

• Work collaboratively and efficiently with other corporate and field based team members to ensure patients receive exceptional service

• Document accurate and concise patient/family feedback and special needs during each call in our computer systems, enabling our market-based clinicians to provide excellent care during each appointment

• Perform miscellaneous job-related duties as assigned

Qualifications

Minimum Requirements:

• High school diploma or GED required.

• At least 3-5 years of comparable work experience.

  Preferred Qualifications:

• Previous telephonic and / or face to face sales experience strongly preferred.

• Able to work the schedule for this position- M-Fri 9am-6pm CST.

  Applicable to Colorado Applicants Only Hourly Pay Range*: $/16.20hr - $27.00/hr 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: PS72100-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 the delivery of end to end system development and maintenance on complex technology systems within assigned client group, business unit or corporate department.

Primary duties may include, but are not limited to:

• Development on medium to large complex customer technology platforms or architectures.

• Maintains active relationships with internal and/or external stakeholder to develop business requirements.

• Analyzes and classifies complex change request and identifies and documents possible system code enhancements.

• Demonstrates knowledge of industry trends, our products and infrastructure.

• Collaborates with engineers and graphic designers, 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.

• Understands the product and analytics and drive requirements that take into account stakeholders needs.

• Identifies problems/risks.

• Codes and maintains complex components of information systems.

• Mentors others on coding standards and performs code reviews.

• Reviews test cases and advises QA on adjacent code/regression impact.

• 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 on call support and monitors the system and identifies system deficiencies.

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 3 years experience on one platform, multi database, multi language or multi business application; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Experience mentoring others, leading small projects and providing troubleshooting support is strongly preferred.

• PEGA expereince preferred

• JAVA experience is a plus

• C# / .NET experience is a plus

• C++ expereince is a plus

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.

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: PS66080-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 the delivery of end to end system development and maintenance on complex technology systems within assigned client group, business unit or corporate department.

Primary duties may include, but are not limited to:

• Development on medium to large complex customer technology platforms or architectures.

• Maintains active relationships with internal and/or external stakeholder to develop business requirements.

• Analyzes and classifies complex change request and identifies and documents possible system code enhancements.

• Demonstrates knowledge of industry trends, our products and infrastructure.

• Collaborates with engineers and graphic designers, 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.

• Understands the product and analytics and drive requirements that take into account stakeholders needs.

• Identifies problems/risks.

• Codes and maintains complex components of information systems.

• Mentors others on coding standards and performs code reviews.

• Reviews test cases and advises QA on adjacent code/regression impact.

• 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 on call support and monitors the system and identifies system deficiencies.

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 3 years experience on one platform, multi database, multi language or multi business application; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Experience mentoring others, leading small projects and providing troubleshooting support is strongly preferred.

• PEGA expereince preferred

• JAVA experience is a plus

• C# / .NET experience is a plus

• C++ expereince is a plus

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.

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: PS66080-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?

Patient Enrollment Specialist I

Locations: Open to ALL US States

$1,000/Sign-on Bonus

Build the possibilities. Make an extraordinary impact.

The Patient Enrollment Specialist is responsible for new patient acquisition. The role is critical to drive the growth of the organization and meet our enrollment commitments to our customers and partners. The role focuses on reaching out to prospective patients to explain Aspire's services, addressing a variety of inquiries, gathering feedback, and scheduling the initial in-home appointment.

The Patient Enrollment Specialist has an ability to react very quickly and be nimble in providing responses and meeting the needs of the patient and our internal team members in a timely, calm, and professional manner.

How you will make an impact:

You are the first person our newly referred patients interact with at Aspire. Your mission is to develop a deep level of trust for patients in the most vulnerable chapter of life, understanding their needs, engaging the patient on how Aspire can best support them & their families, and orchestrating the initial engagement with our clinical team.

• Major activities include:

• Making outbound calls for prospective patients and working to ensure the efficient scheduling of initial in-home appointments

• Ensuring that the patient receives a detailed explanation of Aspire's services

• Expedite emergency clinical calls as needed

• Process new appointments or changes to existing appointment

• Own, manage, convert, and enrolling an assigned referral base

• Ramp new Advance Practice Provider's census and maintain APPs at target census

• Schedule appointments at the -best time- by considering the needs of our patients within the context of the APP's overall schedule and availability

• Demonstrate compassion for individual needs, attention to detail, and collaborating with other team members are critical success factors of this role

• Demonstrate a high level of professionalism and continuous improvement while participating in the call quality monitoring processes

• Work collaboratively and efficiently with other corporate and field based team members to ensure patients receive exceptional service

• Document accurate and concise patient/family feedback and special needs during each call in our computer systems, enabling our market-based clinicians to provide excellent care during each appointment

• Perform miscellaneous job-related duties as assigned

Qualifications

Minimum Requirements:

• High school diploma or GED required.

• At least 3-5 years of comparable work experience.

  Preferred Qualifications:

• Previous telephonic and / or face to face sales experience strongly preferred.

• Able to work the schedule for this position- M-Fri 9am-6pm CST.

  Applicable to Colorado Applicants Only Hourly Pay Range*: $/16.20hr - $27.00/hr 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: PS72099-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?

Care Coordinator Location: Open to ALL US States

Build the possibilities. Make an extraordinary impact.

The Care Coordinator is responsible for coordinating the delivery of care for members.

How you will make an impact: - Implements, coordinates, monitors, and evaluates options and services to meet member's health needs and ensures appropriate use of clinical resources. - Monitors delivery of care across all markets. - Maintains daily admissions and discharge records. - Expedites and coordinates appointments for assigned hospitalized patients. - Authorizes and coordinates services. Keeps all providers involved with members care updated on appointments, condition, and additional clinical support needed. - Requests and gathers necessary medical records. - Maintains accurate and complete documentation in Case Management database.

Qualifications

Minimum Requirements: - Requires a high school diploma and a minimum of 2 years of experience in Case Management Care Coordination in an HMO environment; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications: - Medical Assistant Certification preferred. - Associate Degree preferred. - Prior experience with Managed Care organization. - Minimum of 45wpm typing.

Applicable to Colorado Applicants Only Hourly Pay Range*: $/15.88hr - $20.85/hr 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: PS69426-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

Responsible for end to end application, system development and maintenance on medium or semi complex technology platforms within assigned client group, business unit or corporate department.

Primary duties may include, but are not limited to:

• Writes correct and clean code with limited guidance while ensuring following best practices.

• Partners with internal and/or external stakeholder to better understand business requirements.

• Analyzes and classifies semi-complex change request and identifies and documents possible system code enhancements.

• Participates in developing application scope and objectives and preparing functional and/or technical specifications.

• Partner with designers and other web team members to better understand and apply the right marketing focused content.

• Codes and maintains semi-complex components of information systems.

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

• Understand testing best practices.

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

• Develops a General understanding of how the work fits in to the larger project and identifies problems or issues in requirements.

• Provides on call support and monitors the system for semi-complex issues as needed.

• Facilitates small group design sessions or code reviews and participates in vendor evaluation.

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 1 year experience on one platform; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Multi database, multi language or multi business application strongly preferred.

• ETL experience preferred

• SQL experience preferred (T-SQL/ P-SQL)

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. Please Note: Associates in this job working from a California location are eligible for overtime pay based on California employment law. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. 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: PS66078-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

Responsible for end to end application, system development and maintenance on medium or semi complex technology platforms within assigned client group, business unit or corporate department.

Primary duties may include, but are not limited to:

• Writes correct and clean code with limited guidance while ensuring following best practices.

• Partners with internal and/or external stakeholder to better understand business requirements.

• Analyzes and classifies semi-complex change request and identifies and documents possible system code enhancements.

• Participates in developing application scope and objectives and preparing functional and/or technical specifications.

• Partner with designers and other web team members to better understand and apply the right marketing focused content.

• Codes and maintains semi-complex components of information systems.

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

• Understand testing best practices.

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

• Develops a General understanding of how the work fits in to the larger project and identifies problems or issues in requirements.

• Provides on call support and monitors the system for semi-complex issues as needed.

• Facilitates small group design sessions or code reviews and participates in vendor evaluation.

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 1 year experience on one platform; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Multi database, multi language or multi business application strongly preferred.

• ETL experience preferred

• SQL experience preferred (T-SQL/ P-SQL)

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. Please Note: Associates in this job working from a California location are eligible for overtime pay based on California employment law. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. 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: PS66078-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?

Assists in various aspects of the health care delivery process, including contracting management, reimbursement modeling and relationship management for physicians, providers, facilities, and vendors (primarily in Western PA). Primary duties may include, but are not limited to:

• Ensures that the health care management's strategic initiative are communicated to the accounts and they meet the account's needs in terms of access, cost, quality, network performance, and service.

• Ensures that specific divisional targets for cost of care and provider satisfaction within the scope of the assigned program are achieved.

• Oversees provider credentialing, re-credentialing, and conducts zoom/field visits

• Oversees PROMISe enrollment and Supplemental Services enrollment process

• Works with providers to ensure provide compliance to HealthChoices standards and requirements

• Reviews material and announcements to be sent out for accuracy and completeness

• Conducts training for internal and external customers

• Coordinates plans and activities with Manager and Counties

• Coordinates Requests for Proposals (RFP) with clients

Qualifications

Minimum Requirements

• Requires a BA/BS degree and a minimum of 2 years healthcare experience in Provider Relations, Contracting, or other area of Health Care Management; or any combination of education and experience, which would provide an equivalent background.

Preferred Requirements

• Experience using Zoom (or other online conference tools) for the purposes of conducting meetings and presentations strongly preferred, as is experience using Outlook, Excel, Word and other MS Office tools.

  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: PS71898-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: Work@Home but must be within a 1-hour commute to an Anthem /Amerigroup office and must be able to work within the hours listed below.

Work Hours: You may reside in any time zone but must be able to work 9 am - 6 pm EST, Monday - Friday and rotating 10 am - 7 pm EST a few times a month.

How you will make an Impact:

Responsible to collaborate with healthcare providers and members to promote quality member outcomes, to optimize member benefits, and to promote effective use of resources for more complex medical issues. Ensures medically appropriate, high-quality, cost-effective care through assessing the medical necessity of inpatient admissions, outpatient services, focused surgical and diagnostic procedures, out of network services, and appropriateness of treatment setting by utilizing the applicable medical policy and industry standards, accurately interpreting benefits and managed care products, and steering members to appropriate providers, programs, or community resources. Works with medical directors in interpreting appropriateness of care and accurate claims payment. May also manage appeals for services denied.

Primary duties may include, but are not limited to:

• Conducts precertification, continued stay review, care coordination, or discharge planning for appropriateness of treatment setting reviews to ensure compliance with applicable criteria, medical policy, and member eligibility, benefits, and contracts.

• Consults with clinical reviewers and/or medical directors to ensure medically appropriate, high-quality, cost-effective care throughout the medical management process.

• Collaborates with providers to assess member's needs for early identification of and proactive planning for discharge planning.

• Facilitates member care transition through the healthcare continuum and refers treatment plans/plan of care to clinical reviewers as required and does not issue non-certifications.

• Facilitates accreditation by knowing, understanding, correctly interpreting, and accurately applying accrediting and regulatory requirements and standards.

• Serves as resource to lower-leveled nurses and may participate in or lead intradepartmental teams, projects, and initiatives.

Qualifications

Nurse Medical Management I

Minimum Qualifications:

• Requires 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 and minimum of 2 years acute care clinical experience.

Preferred Skills, Capabilities, and Experiences:

• 3 years acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which would provide an equivalent background.

• 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.

Nurse Medical Management II

Minimum Qualifications:

• Requires minimum of 3 years acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

• 3 years acute care clinical experience or case management, utilization management or managed care experience; or any combination of education and experience, which would provide an equivalent background.

• 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.

• 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: PS71670-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 Manager

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

Build the Possibilities. Make an extraordinary impact. The Technical Program Manager is responsible for the development and ongoing management of one or more multi-year programs. Manages Enterprise-wide programs of $7 M - $10M+ size with multiple concurrent sub-projects or equal complexity. Responsible for applying project management knowledge, skills, tools, and techniques to project deliverables, processes, and systems.

How you will make an impact: In addition to all responsibilities of a project manager which include managing all aspects of a project including initiating, planning, executing, closing, and controlling, primary responsibilities include, but are not limited to: - Coaches and mentors project team members; mentors other project managers around project management methodology. - Determines project scope; develops resource, risk, quality, cost, and scope management plans. - Develops training plans; develops requirements documents; develops project approval matrix; identifies project team training and tool needs. - Defines, recommends, and secures contractual agreements for technical services and products. - Coordinates requirements, schedules implementation, and post-implement plans, and develops service-level agreements for vendor partners and global resources firms. - Defines quality gates for each project methodology phase. - Defines critical success factors. - Establishes and manages the project warranty period.

Qualifications

Minimum Requirements:

- Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 10 years project management experience in broad-based information systems, full life-cycle application development and/or building enterprise applications and/or data warehouse planning and development with 3 years leading and directing project task(s); or any combination of education and experience, which would provide an equivalent background. - Requires experience working with project management tools, documentation tools, and reporting tools required.

Preferred Qualifications:

- Strongly prefer project management certification within one year of job placement and prior to moving to the next level. - Experience in creating an effective team environment, building strong relationships, negotiation, solving problems and issues, resolving conflicts, managing resources in a matrix environment, and communicating effectively at all levels of an organization. - Experience working with portfolio management applications and Rational tools 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: PS71641

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title - Actuarial Analyst

Location - GA, IN, KY, MO, OH, VA, and WI

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, Inc. is looking to hire an Actuarial Analyst to join our Chief Financial Office Division. This position will support our team in functional areas of focus including but not limited to: analyzing, developing, and validating statistical data.

How you will make an impact:

• Under limited supervision, applies the appropriate actuarial analytical tools to the data and performs preliminary actuarial and statistical analysis.

• Update actuarial models as directed.

• Collect and refine appropriate data for actuarial analysis and ensure its reasonableness and accuracy, in addition to identifying and resolving errors.

• Suggest creative methods to enhance the effectiveness of processes and procedures.

Qualifications

Minimum Requirements:

• Bachelor's degree or equivalent combination of education and experience in a related field

• At least one actuarial exam completed

• Authorized to work in the U.S. without future visa sponsorship requirements

Preferred Skills, Capabilities, and Experiences:

• Knowledge of actuarial and statistical modeling techniques used in actuarial projections

• Demonstrated teamwork and leadership ability as evidenced in extra-curricular activities

• Exceptional written, oral, and interpersonal communications

• Exceptional in problem-solving and critical thinking

• Proficient in Microsoft Office suite (Excel, Access, Visual Basic, and Word)

• Prior experience in corporate environment internship

• Prior experience in an insurance industry internship

Applicable to Colorado Applicants Only

Annual Salary Range*: $56,800 - $71,000

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

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: PS72294

Job Detail

• Company:
  Anthem, Inc.