Company Detail

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Program Manager Schedule: Monday-Friday; 8am-5pm PST Location: Remote with 10% travel-Must be within an hour of an Anthem office

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?

Duties & Responsibilities Responsible for the development and ongoing management of one or more multi-year external client facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client facing program. Primary duties may include, but are not limited to: - Manages and coordinates the development, approval, implementation and compliance of on-going external client facing programs; develops program budget; ensures program meets its stated objectives; provides subject matter expertise in response to day to day external client facing business issues. - Researches applicable subject matter practices and remains aware of industry trends. - Manages external client facing relationships and partners with corporate and regional business areas. - Coordinates training related to external client facing program; develops program success measures and performs periodic assessments of program success.

Qualifications

Requirements - Requires a BA/BS - Minimum of 5 years external client facing experience in program/project management; or any combination of education and experience, which would provide an equivalent background.

Preferences - Graduate degree preferred. - Project management certification - Medicare, Stars quality and /or Health Plan / Medical Group experience

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS71328-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Nurse Case Manager I Location: W@H Hours: 11:30-8:00 pm EST preferred with 10% differential; however, Day shift is available but position will be required to work 2 shifts of 11:30-8:00 pm EST shifts/month. 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 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.

Build the Possibilities. Make an extraordinary impact. At Anthem, Inc., emphasizing the importance of health and wellness among our members means healthy living as well for our employees. That's why we seek RN professionals who embody our commitment to living well, who share a passion to influence others and advocate healthy living. The encouragement our nurse health coaches provide to our members positively impacts healthy life choices and provides a sense of well-being that is immeasurable.

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

QUALIFICATIONS: MINIMUM REQUIREMENTS: Requires BA/BS in a health related field and minimum of 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. PREFERRED SKILLS, CAPABILITIES, AND EXPERIENCE: Previous Case Manager experience is preferred. Previous oncology experience preferred. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS71515-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 the development and ongoing management of one or more multi-year external client-facing programs within a business unit. Program managers typically support business strategies through an integrated portfolio of external client-facing projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional external client-facing program.

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

Qualifications

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

Preferred Qualifications

- G&A experience, its greatly preferred - Graduate degree - Project management certification

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: PS71107-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 developing and executing complex data mining analyses, which involves the design and execution of programs to extract data.

Primary duties may include, but are not limited to:

• Develops and executes data mining analyses. Uses program languages to extract data.

• Develops new and standard reports utilizing data warehouse information.

• Programs and writes queries and reports.

• Establishes and maintains strong knowledge of data warehouse database design, data definitions, system capabilities, related programming languages, and data integrity issues.

• Develops and supports data warehouse-related applications for business areas requiring design and implementation of database tables.

• Conducts training on use of applications developed.

Qualifications

Minimum Qualification:

• Requires a BS/BA degree and a minimum of 2 years related analytical experience; or any combination of education and experience which would provide an equivalent background. PC, spreadsheet, and database skills strongly preferred. Experience in standard Business Information tools and programming/query languages required.

  We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

  REQNUMBER: PS71442-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Build the Possibilities. Make an extraordinary impact.

• This is a remote, work from home position.

  How you will make an impact as a Grievance/Appeals Representative I:

  Responsible for reviewing, analyzing and processing claims in accordance with policies and claims events to determine the extent of the company's liability and entitlement. Primary duties may include, but are not limited to:

• Conducts investigation and review of customer grievances and appeals involving provision of service and benefit coverage issues. Contacts customers to gather information and communicate disposition of case; documents interactions.

• Generates written correspondence to customers such as members, providers and regulatory agencies.

• Performs research to respond to inquiries and interprets policy provisions to determine the extent of company's liability and/or provider's/beneficiaries entitlement.

• Responds to appeals from CS Units, Provider Inquiry Units, members, providers and/or others for resolution or affirmation of previously processed claims.

• Ensures appropriate resolution to inquiries, grievances and appeals within specified timeframes established by either regulatory/accreditation agencies or customer needs.

• Identifies barriers to customer satisfaction and recommends actions to address operational challenges.

  How you will make an impact as a Grievance/Appeals Representative II:

  Responsible for reviewing, analyzing and processing policies related to claims events to determine the extent of the company's liability and entitlement. Primary duties may include, but are not limited to:

• Conducts investigation and review of customer grievances and appeals involving provision of service and benefit coverage issues.

• Contacts customers to gather information and communicate disposition of case; documents interactions.

• Generates written correspondence to customers such as members, providers and regulatory agencies.

• Researches administrative or non-clinical aspects of the appeal, e.g. eligibility, benefit levels, overall adherence to policies and practices.

• May make decision on administrative appeals where guidelines are well documented and involve limited discretion.

• Prepares files for internal or external review by analysts, medical staff or outside consultant.

• Triages clinical and non-clinical inquiries, grievances and appeals, prepares case files for member grievance committees/hearings.

• Summarizes and presents essential information for the clinical specialist or medical director and legal counsel.

Qualifications

Minimum Requirements for a Grievance/Appeals Representative I:

• High school diploma or GED equivalent

• Minimum of 1 year experience in health insurance business including customer service experience; or any combination of education and experience which would provide an equivalent background.

  Minimum Requirements for a Grievance/Appeals Representative II:

• High school diploma or GED equivalent

• Minimum of 2 years experience in customer service, preferably in a managed care environment, medical office, or health insurance; or any combination of education and experience which would provide an equivalent background.

  Preferred Skills, Capabilities and Experiences for a Grievance/Appeals Representative I:

• Good verbal and written communication, organizational, interpersonal skills and PC proficiency strongly preferred.

  Preferred Skills, Capabilities and Experiences for a Grievance/Appeals Representative II:

• Ability to organize work, set and manage multiple priorities in a time sensitive manner is strongly preferred.

• Good oral and written communication skills, basic word processing, data base management, spreadsheet skills, PC proficiency and claims knowledge strongly preferred.

  We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

  Applicable to Colorado Applicants Only

  Hourly Pay Range for Grievance/Appeals Analyst I*: $17.85/hr - $23.42/hr

  Hourly Pay Range for Grievance/Appeals Analyst II*: $18.04/hr - $23.68/hr (Min - MRP)

  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

  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: PS70834-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 defining and managing the scope of Business Systems projects.

Primary duties may include, but are not limited to:

• Defines functional, usability, reliability, performance and support requirements of a system.

• Creates and performs feature testing and determines environmental needs.

• Provides the link between the technical and business views of the system by ensuring that the technical solutions being developed will satisfy the needs of the business.

• Partners with business , architecture and infrastructure and oversees all service levels to ensure business area satisfaction.

• In depth knowledge of tools utilized.

• Works with the IT learning organization to mentor and assist in training initiatives and performs estimates for application functionality enhancements.

• Proactively works with stakeholders to identify future system opportunities and enhancements.

• Interact with stakeholders to elicit and understand business requirements, functional/process design and simplify requirements and document using various requirements gathering tools (MS Visio, JIRA). Perform detailed analysis of current and to be as-is state of business process, and identify potential opportunities of automation.

• Develops use cases.

Qualifications

Minimum Qualification:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 6 years' experience in a variety of technologies, documenting requirements and/or building test cases; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Business Analyst or Business Systems Analyst certifications strongly preferred.

• Experience with mainframe computer, hardware and operating systems and the impacts of changes in the systems stream, testing/product quality processes, tools and methods strongly preferred.

• Experience with Rational tools, Six Sigma or other process improvement training strongly preferred.

• Experience with PEGA or Salesforce platform strongly preferred

• Experience with health care industry strongly preferred

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed 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: PS70888

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?

Social Work Case Manager

Work schedule: Monday - Friday 8:00 am - 5:00 pm EST with occasional evening hours

Location: Remote - GA, VA or NY

How you will make an impact

The Social Work Case Manager is responsible for performing social work case management services by making integrative psychosocial assessments, developing, implementing, coordinating, monitoring, and evaluating social work goals designed to optimize members access to social services across the care continuum and ensuring member access to services appropriate to their psychosocial needs.

Primary duties may include, but are not limited to:

• Conducts psychosocial assessments to identify individual needs and a specific social services/psychiatric needs to address objectives and goals as identified during assessment. Implements social work goals by advocating for members' needs.

• Networks with other community resources.

• Provides referrals within benefits structure.

• Develops and implements a metric system that tracks baseline levels of functioning throughout course of social work services by constructing necessary instruments that focus on identified psychosocial needs.

• Coordinates specific psychosocial resources to meet members identified needs.

• Monitors and evaluates effectiveness of the social work goals. Interfaces with Registered Nurse Care Managers and Management on the development, implementation, and progress of social work goals, and the member's responsiveness to resources rendered.

• Evaluates members' ability to independently manage self and locate alternative resources when limitations are identified.

• Provides guidance to members seeking alternative solutions to specific social, cultural or financial problems that impact their ability to manage their healthcare needs.

• Evaluates members' strengths related to health self-management, develops strategies to support healthcare needs and implements plans in support of case decisions.

• Facilitates and coordinates behavioral health resources as individual member needs are identified.

• Participates in social work case audit activities and assists supervisor with management of day-to-day activities, such as monitoring and prioritizing social work task-list workflow.

• Serves as first line contact for conflict resolution.

• Develops a medical social work module of training for staff social workers.

• Develops training materials, completes quality audits, performs process evaluations, and tests and monitors systems/process enhancements.

• Serves as a team lead, manages the most complex cases, assists in policy and procedure development, and leads projects with cross-functional teams or serves as a representative on enterprise initiatives.

Qualifications

Minimum Requirements:

• Requires an MS (at a minimum) in Social Work; 3 years of experience in case management in a health care environment; or any combination of education and experience, which would provide an equivalent background.

• Current unrestricted LMSW or LCSW license in applicable state(s) required.

  Preferred Capabilities, Skills and Experiences:

• Bilingual (Spanish) or multi-language skills preferred.

• Previous discharge planning experience 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: PS71832-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Senior Business Information Consultant (Population Health)

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 coordinating and consolidating various impact analyses for management reporting.

Primary duties may include, but are not limited to:

• Establishes, improves, and optimizes the consolidating processes for forecast and month-end results. Consolidates and prepares executive summary reports for various business segments in the SBU for top management decision-making.

• Analyzes and designs solutions to address varied and highly complex business needs.

• May collaborate with businesses and technical areas to implement new or enhanced products.

• May require strong knowledge of products as well as our internal business models and data systems.

• May coordinate with external audits as appropriate.

• Acts as the central contact with internal departments and external auditors.

Qualifications

• Requires a BS/BA degree in Statistics, Economics, or Business Administration

• Minimum of 12 years of relevant experience;

• Or any combination of education and experience which would provide an equivalent background.

• Experience providing leadership in evaluating financial performance of complex organizations strongly preferred. Excellent leadership, problem solving, organizational, planning, presentation and interpersonal skills strongly preferred.

• Ability to work independently and draw up plans to address issues/concerns strongly preferred.

• Experience with Visualization tools such as Tableau or Power BI required.

• Experience with Python, SQL, and/or R required

• AWS Cloud Computing experience highly desired.

• SAS, Azure, Apache experience a plus.

• Experience in implementation and/or support of Population Health systems/solutions, such as but not limited to: Risk Stratification Registries, Case Management Systems, Claims Adjudication Systems, IVR technology, Prior Authorization, etc. preferred.

• General knowledge and understanding of value based care and accountable care concepts, and of different healthcare plans (Medicare, Medicaid and Commercial Plans) 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: PS71256-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?

Build the Possibilities. Make an extraordinary impact.

The Intern students will gain real-world work experience in their academic field. During the summer months, interns will engage in challenging projects evolving around the rapidly changing healthcare tech industry. Interns will be paired with industry professionals and mentors and will be given opportunities to stretch their skills and enrich their knowledge base to achieve a greater understanding within Technology. If the intern performs well throughout the internship, there will be opportunities for fulltime employment once the intern graduates.

Interns will participate in activities to enhance connection to the company as a whole and encourage personal growth. Some of these activities include:

• Formal onboarding event for all students to ensure integration to the organization and program

• A one-on-one mentorship with a leader for the duration of the program

• Cadenced Learning series to build student's acumen and focus on learning the business

• Opportunities to grow and develop through social and networking event

  What we are looking for:

  Developer Interns will be assigned to a specific group within the Information Technology based on skill set and need of the business. Undergraduate students should have experience and education in:

• Python, Java, C/C++, C#, Angular, HTML

• Automation tools, software testing tools, Machine learning methods

• DevOps, DevSecOps, Salesforce, infrastructure & mainframe, multi-database, multi-language or multi business application preferred.

• Advanced understanding of technological trends and developments in the areas of software development, software integration, cloud services and application support

  The Summer 2022 Internship will take place from June 6th - August 12th. This is a remote opportunity. The ideal person will possess the willingness and capacity to learn quickly and apply new knowledge. They will also have proven analytical skills, excellent written and oral communication abilities. We are in search of an energetic self-starter with a willingness to work hard, take on significant and multiple responsibilities, and with dedication towards excellence and achieving results. In addition to being an intellectually curious self-starter with the ability to work in a fast-paced, flexible team environment...We want to hear from you!

Qualifications

• Currently enrolled in an undergraduate level degree-seeking program related to math, statics, scientific computing, data and analytics, business analytics, marketing, or related field

• Graduation date between Aug 2022 and Dec 2024

• GPA of 3.0 or above

• Must be available to participate in the intern program from June to August working 40 hours a week.

• Advanced user of Excel, PowerPoint, and Word

  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: PS72126

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Location: Remote

Provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care.

Primary duties may include, but are not limited to:

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

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

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

• Recommends standardized practices to optimize cost of care.

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

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

• Participates on project team involved with enterprise wide initiatives.

Qualifications

Minimum Qualifications

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

  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: PS70276

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

Location: Remote

Provides analytical support to the Cost of Care and/or Provider Contracting organizations. Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction. Typically works with one provider type, e.g. physician, ancillary, or medical group. Provides advice and analytic support to Medical Directors, contract negotiators and management on cost of care issues to help reduce costs without compromising quality of care.

Primary duties may include, but are not limited to:

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

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

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

• Recommends standardized practices to optimize cost of care.

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

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

• Participates on project team involved with enterprise wide initiatives.

Qualifications

Minimum Qualifications

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

  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: PS70276-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Business Change Advisor Schedule: Monday-Friday; 8am-5pm EST Location: Remote

Be part of an extraordinary team

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving high-performance culture that empowers you to make an impact?

Duties & Responsibilities To ensure consistent use of this job across the enterprise, please consult with your Human Resources partner prior to using this job (HRBP should work with Compensation). Responsible for assisting the management within the business unit and the organization in bridging the gap between the current and desired business performance levels and balancing short-term business needs with long-term perspectives on success to ensure that our change journey produces desired results. Primary duties to include, but are not limited to: - Helps build and support the company's change network. - Communicates information from a variety of sources through newsletters, dashboards and presentations. - Promotes benefits of function within region as well as throughout the company.

Qualifications

Requirements - Requires a BA/BS - Minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.

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: PS70778

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: United States, Remote

Build the Possibilities. Make an extraordinary impact:

Primary duties may include, but are not limited to: - Assures the confidentiality and integrity of all aspects of the credentialing program and process including communication of information regarding participating providers to Medical Directors, Credentials Committee and other internal departments, as well as database management, provider relations and contracting. - May be utilized within the Credentialing Database Operations unit or the Credentialing Policy Committee unit to support the company's entire credentialing process.

How you will make an impact:

Processes credentialing and re-credentialing files in accordance with Company and departmental policies and procedures and in compliance with state and federal laws and regulations and accrediting organization standards.

Qualifications

Minimum Requirements:

- Requires a high school diploma/GED. - 1 year of credentialing experience.

Preferred Skills, Capabilities, and Experiences:

- CAQH experience preferred. - 1-3 years of credentialing experience. - Facility credentialing. - Medicare/Medicare experience. - Bilingual.

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: PS71343

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?

Job Descriptions:

Business Change Advisor

Responsible for assisting the management within the business unit and the organization in bridging the gap between the current and desired business performance levels and balancing short-term business needs with long-term perspectives on success to ensure that our change journey produces desired results.

Primary duties to include, but are not limited to:

• Helps build and support the company's change network.

• Communicates information from a variety of sources through newsletters, dashboards and presentations.

• Promotes benefits of function within region as well as throughout the company.

  Business Change Advisor Sr

  Primary duties to include, but are not limited to:

• Facilitates and coordinates annual planning process for the business unit.

• Facilitates identification of leadership's priorities and establishment of goals within the context of a designated journey plan.

• Develops journey plan and maps to reach goals and educates key stakeholders in use of these tools.

• Oversees utilization of additional management tools and processes.

  Business Change Manager

  Primary duties to include, but are not limited to:

• Identifies potential issues, project charge, and scope.

• Leads efforts to identify best practices.

• Identifies impacted parties, business partners, and resources required.

• Develops and designs processes and systems that support business needs.

• Designs methods for integrating function and process.

• Conducts cost/benefit analyses.

• Builds support for business change throughout the business unit.

Qualifications

Job Qualifications:

Business Change Advisor

• Requires a BA/BS and minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.

  Business Change Advisor Sr

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

• May require project management skills.

  Business Change Manager

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

• Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign is strongly preferred.

  We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

  The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

  Anthem, Inc. has been named as a Fortune 100 Best Companies to Work ForR, is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. 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 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: PS71042

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: PS71514

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Referral Services Assistant United States 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. Aspire Health is the nation's largest provider of home-based palliative care. We partner with health plans and physicians who share our vision of providing comprehensive, collaborative medical care to offer relief from the symptoms, pain, and stress of serious illness in the comfort of a patient's home. As a Referral Services Assistant, you will be responsible for providing support to clinical team to facilitate the administrative components of clinical referrals for case management or disease management services to include home health, nutritional counseling, etc.

How you will make an impact:

• Initiates and manages clinical referrals for participants registered in a disease management or health program.

• Acts as a liaison between hospital, health plans, physicians, patients, vendors and other referral sources.

• Reviews referrals for completeness and follows up for additional information.

• Assigns referrals to staff. Verifies insurance coverage and obtains authorizations from insurance plans.

• Maintains database of insurance companies for verification of coverage, accepted plans, and requirements for patient eligibility.

• Contacts physician offices to obtain demographic information or related data.

• Enters referrals and documents communications in system.

Qualifications

Minimum Requirements:

• Requires a HS diploma or GED

• Minimum of 1 year of experience in a healthcare environment;

• Or any combination of education and experience which would provide an equivalent background.

• Ability to travel may be required.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS68604

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?

Job Descriptions:

Business Change Advisor

Responsible for assisting the management within the business unit and the organization in bridging the gap between the current and desired business performance levels and balancing short-term business needs with long-term perspectives on success to ensure that our change journey produces desired results.

Primary duties to include, but are not limited to:

• Helps build and support the company's change network.

• Communicates information from a variety of sources through newsletters, dashboards and presentations.

• Promotes benefits of function within region as well as throughout the company.

  Business Change Advisor Sr

  Primary duties to include, but are not limited to:

• Facilitates and coordinates annual planning process for the business unit.

• Facilitates identification of leadership's priorities and establishment of goals within the context of a designated journey plan.

• Develops journey plan and maps to reach goals and educates key stakeholders in use of these tools.

• Oversees utilization of additional management tools and processes.

  Business Change Manager

  Primary duties to include, but are not limited to:

• Identifies potential issues, project charge, and scope.

• Leads efforts to identify best practices.

• Identifies impacted parties, business partners, and resources required.

• Develops and designs processes and systems that support business needs.

• Designs methods for integrating function and process.

• Conducts cost/benefit analyses.

• Builds support for business change throughout the business unit.

Qualifications

Job Qualifications:

Business Change Advisor

• Requires a BA/BS and minimum of 2 years related experience; or any combination of education and experience, which would provide an equivalent background.

  Business Change Advisor Sr

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

• May require project management skills.

  Business Change Manager

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

• Experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign is strongly preferred.

  We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

  The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

  Anthem, Inc. has been named as a Fortune 100 Best Companies to Work ForR, is ranked as one of the 2020 World's Most Admired Companies among health insurers by Fortune magazine, and a 2020 America's Best Employers for Diversity by Forbes. 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 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: PS71042-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

HRIS Title: CLAIMS PROCESSOR SR - Compass Source Job: Sr. Claims Processor Location: Michigan

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 Position: Beacon Health Options is seeking a Senior Claims Processor to join our team in Wixom, MI. The Senior Claims Processor will handle complex claim issues, act as liaison to other Departments and providers, assist Claims Processors through training and monitoring, assist with auditing of the Claims Department staff, and participate in special projects and other duties, as assigned.

Position Requirements:

• Interface with external and internal customers to resolve claim issues related to inquiries and adjustments ensuring optimal efficiency of service. Respond to written customer inquiries professionally and efficiently. Generate letters to providers/members explaining claims action to foster and understanding of the disposition of claims. Review and reprocess claims (make adjustments) for additional consideration. Research claims for additional or missing information. Perform all duties of a Claims Processor, as needed

• Ensure timely completion of adjustments, voids, and refunds. Initiate request for refunds by generating refund letters and/or debits on MHS. Track collection from providers/members and follow-up accordingly. Process returned checks and forward information to appropriate departments

• Assist with the department auditing function. Perform audits to ensure that Value Options policies and procedures are applied consistently and that claims are processed properly, accurately, and timely. Assist the Claims Manager in maintain inventory levels. Assist with training staff on equipment, systems and procedures and assist staff with on-going questions. Function as, assist and train Claims Processors and Claims Auditors, when necessary

• Assist the Department Manager by generating and reviewing suspension reports to monitor status of suspended claims. Review results with appropriate staff to ensure all claims are resolved and released

• Investigate claims questions problems and complaints. Conduct research in order to analyze and correct problems. Recover overpayments. Reply to related correspondence

• Contribute to overall success of the claims department in meeting performance guarantees to customers and maintaining customer standards. Ensure that established work processes are followed accordingly

• Apply Beacon Health Options policies and procedures consistently. Maintain Confidentially of Clients, Business Records and Reports. Maintain ethical and professional standards. Maintain individual productivity and performance standards. Complete tasks accurately within required timeframes. Support Beacon Health Options in achieving Mission Statement. Adhere to the components of the Compliance Program. Ensure that job tasks are performed in a legal and ethical manner. Actively assess work area for non-compliance issues and notifies supervisor or calls Ethics Hotline. Adhere to compliance training requirements and understand that training is a required condition of employment. Participate in corporate and service center quality and utilization management programs, as appropriate.

Qualifications

Position Requirements:

• Education: High school diploma/GED required

• Relevant Work Experience: 3 years' experience in health care claims processing required, experience in a managed care setting using management information systems and software 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: PS71539-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 translating basic business needs into application software requirements.

Primary duties may include, but are not limited to: - Analyzes business needs to determine optimal means of meeting those needs. - Determines specific business application software requirements to address specific business needs. Works with programming staff to ensure requirements will be incorporated into system design and testing. - Acts as liaison with users of the software to address questions/issues.

- Preforms claims processing and data analysis of claim

Qualifications

- BA/BS - Minimum of 3 years related business analysis experience, or any combination of education and experience, which would provide an equivalent background.

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. 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: PS71034

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?

Member of the 24/7 operations team, supporting the Government Business Division of Anthem. Responsible for monitoring and recovery of core applications and processes, ensuring our SLAs and regulatory obligations are met. Good written and oral communication skills, and great customer service skills required. The team works in 4 day shifts, and this position is for the 2PM-1AM Sunday to Wednesday or Wednesday to Saturday shifts.

Primary duties may include, but are not limited to:

• Monitors daily /nightly batch processing schedules to ensure job flows are completed in a timely manner.

• Provides back-up to the IT Call Center during off hours to enable customers to access systems.

• Adheres to standard data management practices

• Monitoring back-up data and ensuring that off-site requirements are met for midrange and/or mainframe LAN servers and workstations.

• Ensures documentation is written and kept updated on current procedures.

• Ensures out-of-house data is available for distribution.

• Internal Broadcasting and Leadership communication

• Recover jobs and processes that fail according to documentation

• Tier 1 support of GBD IT Processes, engage with transition of work onto the team and uphold team standards

• Desire for long term career in an IT field required

• Incubator team model: Technical & soft skills training part of team structure

Qualifications

Minimum Qualification

• Requires a H.S. diploma or equivalent and a minimum of 1 year personal computer experience.

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: PS70628-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Connect Retention Representative Gilbert, MN

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 retaining and growing group dental, vision, life and disability plans for existing groups of 2-100 through proactive and responsive communications with brokers, group administrators, employer groups and internal sales partners. This includes teaming up with the Anthem Connect Broker Sales Representatives within their assigned market, serving as the point of contact for renewal activity, fostering relationships with existing brokers and local sales teams, monthly campaign based out-bound calling to ensure renewals are proactively reviewed, generate and issue proposals, and close new upsells.

Primary duties may include, but are not limited to:

• Establish, foster and actively manage broker and employer group relationships for a defined book of small group accounts.

• Conduct monthly retention campaigns to drive persistency and identify opportunity for upsell sales.

• Serve as key interface to ensure timely renewal discussions, proposal generation and follow-up.

• Prepare additional marketing collateral needed to influence persistency and upsells (comparison charts, network information, etc.).

• Supports pursuit of new business opportunities either directly with a broker/consultant or potential client, or through a team approach with field office sales staff.

• Manages the annual renewal process for accounts, including underwriting negotiation, preparation of renewal analysis, and broker or client presentations.

• Update and maintain database with timely and accurate information.

Qualifications

Requirements:

• High school diploma and a minimum of 2 years of industry-related experience or any combination of education and experience which would provide an equivalent background.

• Health, Accident and Life Insurance license required along with conducting necessary continuing education to maintain active license.

  Preferred:

• College degree

• Broker experience

• Sales experience

• Relationship building 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.

  Applicable to Colorado Applicants Only

  Annual Hourly Range*: $14.12 - $28.25

  Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or

  REQNUMBER: PS71073-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?

Primary duties may include, but are not limited to:

• Identifies new technologies for domains based upon business value drivers and return on investment; helps drive new technologies towards implementation and exploitation.

• Drive the end to end Architecture of the journey, from Raw Data to Action.

• Ingest & Consolidate Data, organize and describe data, enable users to understand and interpret the data and derive insights and translate insights into actions by integrating the analytics output into operations.

• Ensure the company's cloud and on-premise data is centralized into a single cloud based data ecosystem.

• Work with the product, operations, and executive management teams to create a data enabled user journey.

• Develop a roadmap for the centralized analytics function in collaboration with Application teams and functional groups.

• Collaborate with all functions of the company to ensure data needs are addressed and the required data is modeled and available to analysts and end-users.

• Build a multi-modal service model that meets the non-homogeneous needs of our functional groups (Full Service, Self-Servic and across data stack).

• Work with product, operations and executive management to guide maintain a holistic vision of the future of analytics.

• Work with leadership to plan evolving Analytics strategy or needs.

• Contribute to overall systems architecture vision and ensures specific components are appropriately designed and leveraged; contributes to the holistic vision of Enterprise Architecture.

• Contribute to defining architecture standards and anticipate areas where architecture standards may need to be developed that are in-line with customer, IT, and industry standards.

• Coordinate all enterprise-level conceptual architecture components (e.g., data architecture, application architecture, technical architecture).

• Drive architecture strategy and vision for enterprise.

• Help ensure blueprints are refreshed as needs emerge or in accordance to plan of record changes.

Qualifications

Minimum Requirement:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years of experience in information technologies with 6 years of experience in architecture/design in relevant technology disciplines; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Experience in health care industry 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: PS70033-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Sr. Program Manager Location: Remote

Be part of an extraordinary team! We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

How you will make an impact:

Responsible for the development and management of multiple programs simultaneously, which span multiple states and markets and various care delivery models.

Primary duties may include, but are not limited to:

• Incorporate new products and/or services and reinforce standardization for a scalable and efficient new market, and service area expansion.

• Interpret new payor contract requirements and build execution plans for existing CareMore care delivery models and new models as designed by the Company for all lines of business and/or populations served.

• Works with stakeholders and team members to continuously improve end-to-end execution effectiveness.

• Drives more efficient and effective delivery and continuous improvement by utilizing feedback and metrics to identify areas of opportunity.

• Facilitates team transparency by escalating impediments and shares progress by the team to the appropriate channels and provides recommendations for problem resolution to ensure program execution remains on track and on budget.

• Actively engaged in defining solutions and new processes and managing action items, identifying issues and risks, adjusting scope, and identifying tasks necessary to complete planned work. Serves as subject matter expert for all programs and relationship manager to clients.

• Provides mentoring and coaching to Program Managers. Additional duties may include post-program launch responsibilities.

Qualifications

Minimum Requirements:

Requires a BA/BS and minimum of 7 years experience in external client facing program management, project management; complex business processes, strategic and businessplanning; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

• Project management certification (PMP) is preferred.

• Commercial experience is a huge plus and highly desirable.

• Client implementation experience is strongly preferred.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS71195

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Principal Architect Executive

Location: Within 50 miles of IN, VA, IL, or GA

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 role with lead the organization in providing strategic architecture initiatives in areas such as, Claims Eco-System, Data architecture, Integration architecture, Platform roadmaps, Services roadmap, Cloud roadmap, and Technology selection.

Primary duties may include, but are not limited to:

• Partners with company leadership to design processes that will shape and build the foundation.

• Recommends new solutions that build the processes on how services are delivered to members, providers and key stakeholder view on all aspects of data and process flows; this could be automated or manual.

• Leads initiatives and owns governance to establish new processes and changes to existing processes.

• Focuses on the following:

• Building Reference Architecture and reusable Patterns

• Development of Technology and Governance Process

• Reduce Technical Complexity

• Establishes overall business architecture vision and ensures specific components are appropriately designed and leveraged; contributes to the holistic vision.

• Provides continuous consulting services and direction on projects, and provides in-depth technical consultation to IT executives and senior management to ensure system architecture aligns with the department's strategic direction.

• Champions and responsible for business architectural standards, guidelines, principles, frameworks, and reference models.

• Works on all aspects of the business model to convey needs to IT and key business stakeholders.

• Works with IT to lead IT Business Transformation architecture strategy and vision.

• Understanding of data, data requirements, data constraints, business process and workflows, automation, and service delivery and benefit structure to align end to end processes. Help deliver and drive migration based upon roadmaps defined by enterprise data roadmaps.

• Works with IT to define architectures for new strategic initiatives.

• Lead and mentor solution architects, engineers, managers and business teams and individuals

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study Minimum of 10 years of experience in architecture/design, business processes, strategic design or relevant disciplines; or any combination of education and experience, which would provide an equivalent background.

  Desired Experience:

• Cross-functional experience (e.g., strategy, change management, business process management) experience strongly preferred.

• 12 plus years of experience in Information Technology Experience in health insurance domain specifically in the areas of Claims, Members, Providers and Medical Management

• Experience in leading Architecture teams along with experience and ability to influence at all levels

• Strong experience in using Integration patterns and Data design

• Understanding of architecture governance and solution design management processes

• Experience working with business process and workflows automation to align end to end processes.

• Knowledge of application design patterns

• Strong collaboration and coaching skills

• Experience of working in an Agile development environment Broad technical knowledge, and ability to quickly assimilate new skills

• Strong communication skills, both written and oral with the ability to translate technical expressions into easy to understand and clear language

• Experience with one of the major Architecture Framework such as Zachman or TOGAF

• Experience with IaaS, PaaS and Cloud Services such as AWS, Azure

• Understanding and experience with container based architectures

• Understanding and experience with Microservices based architecture

  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: PS71926

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 Engineer Senior (SQL/ETL Developer) 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:

• Develop, enhance and support of T-SQL stored procedures, functions, and other objects.

• Analyze and improve performance of existing stored procedures and Pega service queries.

• Develop and manage Infogix or similar balance & control tools to ensure data integrity in our databases

• 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.

• 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.

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.

Preferred Qualifications:

• Experience maintaining/managing TIDAL Jobs is a plus.

• SQL/ETL experience working with Pega BPM/BIX jobs is preferred.

• Multi database and/or multi language strongly preferred.

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

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.

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: PS71441

Job Detail

• Company:
  Anthem, Inc.