Company Detail

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team

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

Build the Possibilities. Make an extraordinary impact.

The Risk Adjustment Strategic Manager is responsible for serving as a strategic partner for the Medicare business to Enterprise Risk Adjustment, Business Operations, Regulatory Compliance and Internal Audit business units. Identifies trends and strategizes how the business can be more efficient and effective in the market. Utilizes trend data to provide more strategic direction to providers.

How you will make an impact:

• Assist management by overseeing day to day operations for risk adjustment programs including both prospective and retrospective, claims, vendor quality, and audits.

• Develop metrics, policies, and procedures in support of required deliverables and validation of programs return on investment while ensuring the programs are in compliance with Center for Medicare and Medicaid Services (CMS) program requirements.

• Serve as a strategic partner to the business and contributes to ideas and solutions.

• Influence others and works effectively to establish and develop working relationships both internally and externally with business stakeholders.

• Obtain and compile trend data and educates providers.

• Collaborate with the operations risk and compliance teams in implementing and deploying Enterprise Risk and Compliance initiatives, processes, and tools.

• Effectively drive remediation of risks and issues by collaborating with Business Operations, Internal Audit and Regulatory Compliance.

• Find root cause and recommend innovative solutions.

• Provide oversight and ensure complete and accurate coding for Medical Revenue Management programs driving the revenue we receive from CMS.

• Serve as a subject matter expert on coding.

• Lead and consult with operations on ad hoc requests/special projects.

• Work collaboratively with Enterprise Risk Adjustment team, Business Operations, Regulatory Compliance, and Internal Audit.

Qualifications

Minimum Requirements:

• Requires a BA/BS in a related field and minimum of 5 years of experience in a managed care setting with extensive risk adjustment experience with a focus on CMS audit experience; or any combination of education and experience, which would provide an equivalent background. Travel may be required.

  Preferred Skills, Capabilities and Experiences:

• Risk adjustment, Data analysis, Trend reporting, and Provider education experience preferred.

• Risk adjustment vendor experience preferred.

• Coding knowledge 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: PS71397-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Title: Marketing Communications Writer II Location: Virginia | Illinois | California - no preference of time zone to operate in

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 Marketing Comm Writer II is responsible for creating moderately complex marketing communication materials. How you will make an impact: - Consults with business leaders to identify business objectives. - Create copy that is member-focused, clear, easy-to-understand, accurate and timely. - Collaborates with creative teams on customer needs and develops and implements communication objectives solutions. - Researches, writes, edits, and reviews content for traditionally printed programs (marketing collateral, trade publication advertising, direct mail, etc.) and/or digital programs (online advertising, micro sites, text campaigns, social media, etc.). - Ensures all materials meet internal and external business and legal standards, and follows appropriate corporate standards, guidelines, and approval processes. - Identifies improvements/efficiencies that support operational excellence, and supports business initiatives (plain language, standardization, going paperless, etc.). - Evaluates the effectiveness of communication plans, strategies, copy and materials, and recommends solutions communication strategies and implementation approaches.

Qualifications

Minimum Requirements: - Requires a BA/BS degree and a minimum of 3 years of related experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: - Understanding and/or experience in healthcare or managed care marketing - Ability to multi-task in a fast-paced environment, meeting daily deadlines/deliverables - Experience creating member-facing communications - Experience with project management 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: PS71546

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team:

Come help us redefine the future of HealthCare. The Innovation Team at Anthem is leading the reinvention of healthcare by identifying, incubating, and implementing valuable solutions to deliver impact at scale and improve the health of the over 40 million members Anthem serves. Our team within Anthem Digital, is closely affiliated with Anthem's Enterprise Strategy Group and engages with stakeholders at every level, internally and externally, to infuse innovative ideas, behaviors, processes, and products across the organization.

Build the possibilities. Make an extraordinary impact:

As a human centered design thinker at Anthem Innovation, you will engage at a strategic level but will also have exposure to the broad range of the Innovation portfolio and the opportunity to make significant contributions to impactful work. You will be working alongside our Innovation Leaders to deliver thoughtful, well-executed, and effective creative materials and design thinking artifacts. We are looking for someone who is passionate about the human centered design process to join our team. We seek someone who is empathic, curious, highly collaborative and open to exploring innovative ideas that go beyond the everyday.

How you will make an impact:

• Knowledge of human-centered design methodology and ability to co-lead project work using best practices and tools.

• Design and facilitate workshops with diverse stakeholders for research, co-creation and alignment.

• Ability to manage and execute multiple projects through various stages and be comfortable with some ambiguity and shifting priorities.

• Develop discussion guides and stimuli to use in research.

• Conduct primary and secondary research to generate insights that drive design decisions.

• Co-lead the development of user journey/service maps (moments that matter) with insights that drive to opportunity areas.

• Can clearly define problem statements and next actionable steps.

• Develop archetype/personas to ground teams in the work they are doing.

• Build strong relationships within the innovation team and across the organization.

• Work with team members to define project scope and work plans for delivery.

• Present work to team members and business stakeholders.

Qualifications

Minimum Requirements:

• Requires a BA/BS degree in experience design and strategy, psychology or related field of study. A minimum of 3 years of experience in applying critical thinking, creative problem-solving, design research, sense-making and pattern recognition on projects; experience with visualization and storytelling (personas, journey mapping); experience leading design, and experience verbally and visually presenting insights, ideas and concepts; or any combination of education and experience, which would provide an equivalent background.

• Master's degree strongly preferred.

Preferred Skills, Capabilities and Experiences:

• 3+ years of design thinking experience.You have a breadth of knowledge of delivering work using a human-centered design process.

• Comfortable with ambiguity. Self-starter with a bias towards action. Can adjust to shifting priorities.

• Great communication skills. You present design decisions and processes clearly and confidently, regardless of audience.

• You believe in human-centered design. Growing understanding of user-centered design methods and best practices.

• Bring solutions to life. Ability to visualize and prototype (in collaboration with a design team) intended solutions at various levels of fidelity to use as stimuli in research.

• Be Agile. Ability to thrive in a fast-paced, collaborative, agile environment, while also co-leading iterative process improvement efforts.

• A collaborative approach. You're a great partner to your cross-functional teammates.

• A growth-mindset. You're curious and receptive to feedback and can adapt quickly in a fast-paced environment.

• A sense of humor. We spend a lot of time together-sharing gifs and laughing over lunch keeps us energized and inspired throughout the day.

• Experience designing and building solutions for HealthCare is a plus.

• Knowledge of dScout and Schlessinger, or other research tools is a plus.

• Design skills is a plus.

Applicable to Colorado Applicants Only

Annual Salary Range*: $65,760 - $82,200

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

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

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

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

REQNUMBER: PS71299-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 development and oversight of enterprise test automation strategies and functions ensuring the highest quality delivery of systems including; test strategy framework, technical test leadership, standardized test architecture, and associated methodologies and process architecture, test planning for strategic/complex initiatives, test automation strategy, end to end test strategy, and test environment strategy requirements.

Primary duties may include, but are not limited to:

• Plays a leadership role in the design, development, and implementation of automation components.

• Coordinates and identifies test cases to automate.

• Mentors staff in testing automation processes.

• Provides consultation to projects and application support groups regarding automation design, development, and execution.

• Develops linkage from test cases to test automation.

• Understands organizational impacts and trade-offs of automation processes.

• Plays a leadership role in managing resources from alternate development centers.

• Review all project related test assets for completeness and quality.

• Design, develop and execute automation scripts (Mostly automation inclined)

• Identify, record, document thoroughly and track bugs.

• Report issues, triage defects, monitor debugging process results and test the bug fix.

• Perform thorough regression testing when bugs are resolved.

• Collects testing metrics, reports status as defined in test plan with supporting data.

• Develop and apply testing processes for new and existing products to meet business needs.

• Liaise with internal teams (e.g. developers and product managers) to identify system requirements.

• Track quality assurance metrics, like defect densities and open defect counts

• Stay up-to-date with new testing tools and test strategies

• Provide consultation/mentoring to staff members and application support groups regarding quality and testing.

• Participate in the transition of software and systems into production.

Qualifications

Minimum Qualifications

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years of testing automation experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

• Quality certification such as CMQ, CQA, CQPA, CQT, CSQE, or CSSBB strongly preferred.

• Knowledge of PEGA PRPC required

• Good knowledge on working with the tools like Cucumber, Selenium, Junit, JAVA, Maven, BitBucket, Bamboo, Jira and Confluence required

• Experience with ATDD process flow and Gherkin scripts for writing acceptance tests.

• Strong knowledge of software QA methodologies, tools and Agile Testing Process

  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: PS70161-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 working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals.

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

• Requires a BA/BS in a related field and a 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 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: PS70799

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 development and oversight of enterprise test automation strategies and functions ensuring the highest quality delivery of systems including; test strategy framework, technical test leadership, standardized test architecture, and associated methodologies and process architecture, test planning for strategic/complex initiatives, test automation strategy, end to end test strategy, and test environment strategy requirements.

Primary duties may include, but are not limited to:

• Plays a leadership role in the design, development, and implementation of automation components.

• Coordinates and identifies test cases to automate.

• Mentors staff in testing automation processes.

• Provides consultation to projects and application support groups regarding automation design, development, and execution.

• Develops linkage from test cases to test automation.

• Understands organizational impacts and trade-offs of automation processes.

• Plays a leadership role in managing resources from alternate development centers.

• Review all project related test assets for completeness and quality.

• Design, develop and execute automation scripts (Mostly automation inclined)

• Identify, record, document thoroughly and track bugs.

• Report issues, triage defects, monitor debugging process results and test the bug fix.

• Perform thorough regression testing when bugs are resolved.

• Collects testing metrics, reports status as defined in test plan with supporting data.

• Develop and apply testing processes for new and existing products to meet business needs.

• Liaise with internal teams (e.g. developers and product managers) to identify system requirements.

• Track quality assurance metrics, like defect densities and open defect counts

• Stay up-to-date with new testing tools and test strategies

• Provide consultation/mentoring to staff members and application support groups regarding quality and testing.

• Participate in the transition of software and systems into production.

Qualifications

Minimum Qualifications

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years of testing automation experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

• Quality certification such as CMQ, CQA, CQPA, CQT, CSQE, or CSSBB strongly preferred.

• Knowledge of PEGA PRPC required

• Good knowledge on working with the tools like Cucumber, Selenium, Junit, JAVA, Maven, BitBucket, Bamboo, Jira and Confluence required

• Experience with ATDD process flow and Gherkin scripts for writing acceptance tests.

• Strong knowledge of software QA methodologies, tools and Agile Testing Process

  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: PS70161-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:

Responsible for leading the implementation process for new accounts and monitoring renewal implementations.

How you will make an impact:

• Ensures completion of all critical deliverables from multiple disciplines to assure timely and accurate implementation of our customers benefit plans.

• Assumes full responsibility for successful performance on account-specific performance guarantees, with associated financial penalties.

• Develops and implements tracking mechanisms and tools for account implementations.

• Leads cross functional implementation meetings to assess the organizations ability to meet the requirements of prospective accounts and to ensure completion of all critical deliverables.

• Leads projects related to implementation.

Qualifications

Minimum Requirements:

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

• Advanced degree preferred.

• Ability to travel and work additional hours maybe required.

Preferred Skills, Capabilities and Experiences:

• Client facing experience is highly preferred.

• Excellent presentation and communication skills are highly desirable.

• Proficiency with MS suite is preferred.

• Experience with WGS and Sales Force Com 2 is preferred.

Please Note: Associates in this job working from a California location are eligible for overtime pay based on California employment law.

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

REQNUMBER: PS71078-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?

Identifies and creates test assets and performs application testing.

Primary duties may include, but are not limited to:

• Identify, create, and execute the appropriate Test Assets (plans, cases, scripts, metrics) to assure the developed application conforms to requirements and design.

• Plays a leadership role in the design, development, and implementation of testing components.

• Reviews/Approves all project related test assets for completeness and quality.

• Ensures all applicable SDLC and testing processes are followed.

• Manages both onshore and offshore test execution resources for project under test.

• Accountable for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

• Coordinate/execute testing across multiple testing phases, including SIT, UAT, and Regression.

• Coordinate, identify, and execute test cases. Identify, report, and review defects in assessing application quality working with various business units.

• Account for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

Qualifications

Minimum Qualification

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum 1 year executing application testing, IT quality experience or an approved IT internship; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualfication

• Quality Certification, such as CSTE, CSQA, CMST, CSQE strongly preferred

• PEGA PRC preferred

• Experience with following Tools are preferred: Cucumber, Selenium, Junit, JAVA, Maven, BitBucket, Bamboo, Jira X-ray

• Experience with ATDD creation and execution integrating with CI

• Good to have automation exposure on multiple browsers

• Good Framework knowledge, exposure to TDD, BDD and ATDD framework knowledge preferable

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: PS70159-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?

Develops testing strategy and master test plan to support testing objectives.

Primary duties may include, but are not limited to:

• Manages the relationship with peer in IT and business for system(s) supported. Leads and coordinates all testing within a system area.

• Identify, create, and execute the appropriate Test Assets (plans, cases, scripts, metrics) to assure the developed application conforms to requirements and design.

• Plays a leadership role in the design, development, and implementation of testing components.

• Reviews/Approves all project related test assets for completeness and quality.

• Ensures all applicable SDLC and testing processes are followed.

• Manages both onshore and offshore test execution resources for project under test.

• Accountable for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

• Coordinate/execute testing across multiple testing phases, including SIT, UAT, and Regression.

• Coordinate, identify, and execute test cases. Identify, report, and review defects in assessing application quality working with various business units.

• Account for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

Qualifications

Minimum Qualifications:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years of executing application testing and IT product quality experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Quality Certification, such as CSTE, CSQA, CMST, CSQE strongly preferred.

• Knowledge of PEGA PRPC preferred

• Experience with following Tools are preferred: Cucumber, Selenium, Junit, JAVA, Maven, BitBucket, Bamboo, Jira X-ray

• Experience with ATDD creation and execution integrating with CI

• Good to have automation exposure on multiple browsers

• Good Framework knowledge, exposure to TDD, BDD and ATDD framework knowledge preferable

• Strong knowledge of software QA methodologies, tools and Agile Testing Process

• Experience with ATDD process flow and Gherkin scripts for writing acceptance tests

• Solid knowledge of SQL and scripting

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: PS70160

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?

Develops testing strategy and master test plan to support testing objectives.

Primary duties may include, but are not limited to:

• Manages the relationship with peer in IT and business for system(s) supported. Leads and coordinates all testing within a system area.

• Identify, create, and execute the appropriate Test Assets (plans, cases, scripts, metrics) to assure the developed application conforms to requirements and design.

• Plays a leadership role in the design, development, and implementation of testing components.

• Reviews/Approves all project related test assets for completeness and quality.

• Ensures all applicable SDLC and testing processes are followed.

• Manages both onshore and offshore test execution resources for project under test.

• Accountable for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

• Coordinate/execute testing across multiple testing phases, including SIT, UAT, and Regression.

• Coordinate, identify, and execute test cases. Identify, report, and review defects in assessing application quality working with various business units.

• Account for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

Qualifications

Minimum Qualifications:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 5 years of executing application testing and IT product quality experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Quality Certification, such as CSTE, CSQA, CMST, CSQE strongly preferred.

• Knowledge of PEGA PRPC preferred

• Experience with following Tools are preferred: Cucumber, Selenium, Junit, JAVA, Maven, BitBucket, Bamboo, Jira X-ray

• Experience with ATDD creation and execution integrating with CI

• Good to have automation exposure on multiple browsers

• Good Framework knowledge, exposure to TDD, BDD and ATDD framework knowledge preferable

• Strong knowledge of software QA methodologies, tools and Agile Testing Process

• Experience with ATDD process flow and Gherkin scripts for writing acceptance tests

• Solid knowledge of SQL and scripting

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: PS70160-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?

The Business Development Manager will be responsible for leading the development of new business plans/strategies for both new and existing businesses.

Primary duties may include, but are not limited to: - Leads the analysis of current and projected product lines to determine optimal business strategy. - Oversees research, analysis and the development of recommendations on the external environment as part of the development of strategic business plans. - Analyzes major competitor strategies. Identifies and monitors changing patterns of competition and recommends response. - Acquires and maintains data/information on market, industry, economic, consumer and competitive conditions and trends pertaining to health insurance/managed care and related services. - Consolidates data, analyses and recommendations into concise business plans. - Develops and implements project plans and oversees project resources. - Leads the activities of lower level staff performing related functions.

Qualifications

- Requires a BA/BS degree and a minimum of 5 years of related experience; or any combination of education and experience, which would provide an equivalent background. Master's degree preferred. The ability to travel may be required.

Preferred Qualifications

- Financial modeling 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: PS70985

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:

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

How you will make an impact:

• Creates and maintains databases to track business performance, writes unique SQL queries to pull-back data for summaries, presentations and interpretations.

• Analyzes data and summarizes performance using summary statistical procedures.

• Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) for the Health Plan department or other internal business partners.

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

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

• May make recommendations based upon data analysis by collecting and formatting raw data into a digestible format.

• Provides analytic consultation including trends, forecasts and dashboard work to other business areas, leadership or external customers.

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

Qualifications

Minimum Requirements:

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

• Experience with relational databases and knowledge of query tools and statistical software is strongly preferred.

• Ability to manipulate large sets of data strongly preferred.

• Strong analytical, organizational, presentation, and problem solving skills strongly preferred.

Preferred Skills, Experiences and Capabilities:

• Extensive skill and experience with SQL coding and query writing is highly desirable.

• Higher-level Excel skills including V-Lookups, complex pivots/charts/graphs is highly preferred.

• Experience with high-degree customer and client service is highly desirable.

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: PS71179-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be a 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?

Agile Product Owner

Location: Remote Opportunity; Eastern Time Zone Preferred

Responsible for acting as a member of the Pega NextGen Agile leadership team and is the functional and/or client (or business) representative for a project or set of projects within a market-focus.

How you will make an impact:

• Translating features into user stories within a teams backlog and managing ranking and prioritizing this backlog so that it is reflective of stakeholder requirements and priorities.

• Final testing and acceptance of the user stories supporting the features.

• Effectively communicate to the team the stakeholder needs so the teams delivery meets both contractual requirements and established acceptance criteria including expected quality and performance, and to complete various work management activities according to defined service level commitments and process compliancy guidelines.

• Collaborates with team(s) to discover and deliver the best solution to the market problem(s) presented by the Product Manager (business).

• Works with the business to understand, rank and prioritize business needs and plan solutions to ensure that each release provides business value to end users sales and marketing.

• Managed the solution concept development process to ensure the product team understand the direction and vision.

• Creates and maintains regularly the solution vision roadmap and backlog of work through the project's life cycle. Understands how to write user stories and their acceptance criteria.

• Translates the product backlog into user stories. Serves as the Product Management (business) proxy and decision point to represent the stakeholders in the project.

• Reviews and accepts/rejects results both during a Sprint and in the Sprint review.

• Attends sprint ceremonies and is available to team during the sprint for clarifications and acceptance of user stories.

• Creates and/or inputs into a projects release plan.

• Presents work to team from Team Backlog during Sprint Planning for acceptance by the Team in a Sprint negotiates Sprint goals with the Team.

Qualifications

Minimum Requirements:

Requires a BA/BS and minimum of 3 years' experience with writing business/functional requirements and experience implementing Agile methodologies; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Qualifications:

• Leading SAFe (SA) certification, CSPO or equivalent (Certified Scrum Product Owner) and/or SPO/PM (SAFE Product Owner/Product Manager) strongly preferred.

• Understanding of Agile/SAFe methodologies strongly preferred

• Experience with Jira

• Pega applications experience is 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: PS70157

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?

Identifies and creates test assets and performs application testing.

Primary duties may include, but are not limited to:

• Identify, create, and execute the appropriate Test Assets (plans, cases, scripts, metrics) to assure the developed application conforms to requirements and design.

• Plays a leadership role in the design, development, and implementation of testing components.

• Reviews/Approves all project related test assets for completeness and quality.

• Ensures all applicable SDLC and testing processes are followed.

• Manages both onshore and offshore test execution resources for project under test.

• Accountable for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

• Coordinate/execute testing across multiple testing phases, including SIT, UAT, and Regression.

• Coordinate, identify, and execute test cases. Identify, report, and review defects in assessing application quality working with various business units.

• Account for Test Data Management, collection of requirements, evaluation of available data in repositories, ID gaps, and owns test data provisioning tasks.

Qualifications

Minimum Qualification

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum 1 year executing application testing, IT quality experience or an approved IT internship; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualfication

• Quality Certification, such as CSTE, CSQA, CMST, CSQE strongly preferred

• PEGA PRC preferred

• Experience with following Tools are preferred: Cucumber, Selenium, Junit, JAVA, Maven, BitBucket, Bamboo, Jira X-ray

• Experience with ATDD creation and execution integrating with CI

• Good to have automation exposure on multiple browsers

• Good Framework knowledge, exposure to TDD, BDD and ATDD framework knowledge preferable

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: PS70159

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Virginia

LTSS Service Coordinator-RN Lead Clinician

Remote with some Travel.

Be part of an extraordinary teamWe 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 use of this job is limited to large LTSS programs within the GBD Medicaid business unit. If you believe this to be the best match for your position, please consult with your Human Resources partner prior to using this job (HRBP should work with Compensation).

Responsible for leading a team and assisting management with day to day activities, such as workforce management and monitoring and prioritizing workflow.

• Performs quality audits to ensure care plans designed optimize member's physical, behavioral, and social needs.

• Assists in the development and maintenance of policies and procedures, training materials and job resources.

• Leads projects and participates in workgroups with cross functional teams and serves as a representative on business unit/enterprise initiatives.

• Performs process evaluations and tests and monitors systems/process enhancements.

• Serves as first line contact for conflict resolution.

• Participates in the Internal Appeal Process.

• Responsible for overall management of member's case within the scope of licensure;

• provides supervision and direction to non-RN clinicians participating in the member's case in accordance with applicable state law and contract;

• develops, monitors, evaluates, and revises the member's care plan to meet the member's needs, with the goal of optimizing member health care across the care continuum.

• Responsible for performing telephonic or face-to-face clinical assessments for the identification, evaluation, coordination and management of member's needs, including physical health, behavioral health, social services and long term services and supports.

• Identifies members for high risk complications and coordinates care in conjunction with the member and the health care team.

• Manages members with chronic illnesses, co-morbidities, and/or disabilities, to insure cost effective and efficient utilization of health benefits.

• Obtains a thorough and accurate member history to develop an individual care plan.

• Establishes short and long term goals in collaboration with the member, caregivers, family, natural supports, physicians; identifies members that would benefit from an alternative level of care or other waiver programs.

• The RN has overall responsibility to develop the care plan for services for the member and ensures the member's access to those services.

• May assist with the implementation of member care plans by facilitating authorizations/referrals for utilization of services, as appropriate, within benefits structure or through extra-contractual arrangements, as permissible. Interfaces with Medical Directors, Physician Advisors and/or Inter-Disciplinary Teams on the development of care management treatment plans.

• Assists in problem solving with providers, claims or service issues.

• Serves as the first line contact for conflict resolution.

• Directs and/or supervises the work of any LPN/LVN, LSW, LCSW, LMSW, and other licensed professionals other than an RN, in coordinating services for the member by, for example, assigning appropriate tasks to the non-RN clinicians, verifying and interpreting member information obtained by these individuals, conducting additional assessments, as necessary, to develop, monitor, evaluate, and revise the member's care plan to meet the member's needs, and reviewing and providing input on the non-RN clinicians' performance on a regular basis.

• Serves as a mentor or preceptor for new staff, assists in formal training and may be involved in process improvement initiatives.

• May also serve as lead to non-licensed LTSS Service Coordinators as applicable by state law and contract.

Qualifications

Requirments:

• Requires an RN and minimum of 5 years clinical care experience and minimum of 5 years of experience in working with individuals with chronic illnesses, co-morbidities, and/or disabilities in a Service Coordinator, Case Management, or similar role; or any combination of education and experience, which would provide an equivalent background.

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

• BA/BS in health related field preferred.

• MA/MS in Health/Nursing preferred.

• Certification as a Managed Care Nurse (CMCN) preferred.

• May require state-specified certification based on state law and/or contract.

• Travel 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: PS70967

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Senior Business Intelligence Consultant

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.

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: PS71180-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Business Intelligence Consultant

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

Primary duties may include, but are not limited to:

• Creates and maintains databases to track business performance. Analyzes data and summarizes performance using summary statistical procedures.

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

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

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

• May make recommendations based upon data analysis.

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

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

Qualifications

• Requires a BS/BA degree in related field

• Minimum of 5 years experience;

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

• Experience with relational databases and knowledge of query tools and statistical software is strongly preferred.

• Ability to manipulate large sets of data strongly preferred.

• Strong analytical, organizational, presentation, and problem solving skills strongly preferred.

• 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.

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: PS71181-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?

-Please Note: This position may be filled at either the Learning Experience Designer II or Learning Experience Designer Sr. level. Manager will determine level based upon the selected applicant's skillset relative to the qualifications listed for this position.- Design sample required with application submission.

Location: Work from Home

Primary duties may include, but are not limited to:

- Partner with business stakeholders to understand program goals and define the learning solution that will make the programs successful - Collaborate with internal team and matrix partners to lead projects through the ADDIE lifecycle, providing clear timelines through all phases, communicating with key partners, and selecting appropriate measurement for successful implementation. - Participates in needs analysis and recommends end-to-end learning solutions. - Create performance-focused training content that engages learners across online, hybrid and ILT learning experiences. - Create outstanding learning tools including video, performance support aids and scenario based assessments to ensure learner understanding and drive business performance - Design and develop creative online/self-paced, virtual instructor-led, in-person instructor-led and blended training. - Write persuasive and engaging content, scenarios, scripts, and support material aligned with design strategy - Develop written communications to use in internal marketing campaigns for a wide range of stakeholders - Present content proposals or design documents to stakeholders - Lead SME conversations to prioritize content, learning outcomes, and activities to meet deadlines and stay on track - Use data and analytics to understand learner behavior and drive continuous improvement in our learning solutions. - Remain current on new learning approaches, technologies and tools through research and networking to ensure our solutions are innovative. - Use all approved processes, tools and templates to reinforce standards for development and reporting.

Qualifications

Minimum Qualifications:

Learning Experience Designer II - Requires BA/BS in related field and 2 or more years training and development experience; or any combination of education and experience which would provide an equivalent background.

Learning Experience Designer Sr. - Requires BA/BS in related field; 4 or more years of instructional design/development, and 5 or more years supporting a training/learning organization; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications: - Experience in graphic design - Experience in content marketing - Experience in sales - Experience in health Insurance - Experience designing systems training (Salesforce, Trailhead, Walkme) - Familiarity with agile methodologies and design-thinking practices 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: PS70685-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. Join our Aspire clinical team as our Physician in our Texas market.

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.

Primary duties may include, but are not limited to:

• Responsible for providing Internal Medicine/Family Practice Services to patients.

• Provides medical patient care by interviewing, examining, and treating clinical patients.

• Educates patients and families on wellness, prevention and early detection.

• Provides referrals based on examination and patient needs.

• Participates in quality improvement, management, continuing education, and patient care programs.

• Assists in the resolution of complaints, requests, and inquiries from patients.

• Maintains confidentiality of all patient information according to federal guidelines and regulations.

• Completes medical records (EMR) documentation daily.

• Covers night calls as needed.

Qualifications

Minimum Requirements

• Requires a MD or DO.

• Requires current unrestricted medical licensure in Texas

• Board eligibility or board certification in Internal Medicine, Family Medicine, Palliative Care Medicine.

• DEA license required.

• For CareMore business units, satisfactory completion of a Tuberculosis test is a requirement for this position.

  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: PS68519-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Aspire, a proud member of the Anthem, Inc. family of companies, it's a powerful combination. It's the foundation upon which we're creating greater access to care for our members, greater value for our customers and greater health for our communities. Join us and together we will drive the future of health care.

Aspire is a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America's largest managed healthcare organizations.

Duties & Responsibilities

Business Information Analyst II

Primary duties may include, but are not limited to: - Responsible for analyzing, reporting and developing recommendations on data related to multiple, varied business metrics. - Creates and maintains databases to track business performance. - Analyzes data and summarizes performance using summary statistical procedures. - Develops and analyzes business performance reports (e.g. for claims data, provider data, utilization data) and provides notations of performance deviations and anomalies. - Creates and publishes periodic reports, makes necessary recommendations, and develops ad hoc reports as needed. - May require taking business issue and devising best way to develop appropriate diagnostic and/or tracking data that will translate business requirements into usable decision support tools.

Qualifications

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.

Minimum Requirements - Requires a BS/BA degree in related field and a minimum of 2 years related operational and/or data analysis experience, experience in database structures, and standard query and reporting tools; or any combination of education and experience which would provide an equivalent background.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a 'sensitive' 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.

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: PS64206-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?

CareMore is a proud member of the Anthem family of brands, offering clinical programs and primary care options for seniors. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery.

Title: CareMore Regional Chief Medical Officer - East

Location: Remote or within commutable distance to one of our Pulse offices

The incumbent will be responsible for partnering with business, operations, and growth leaders to support business growth in the defined markets. Maintains a high level of touch with prospects and members to ensure that aggressive growth targets are achieved. In addition to having direct oversite for clinical operations and medical staff within the East region.

Primary duties may include, but are not limited to:

• Leads clinical performance and strategy for multiple markets and is accountable for population clinical outcomes and quality, clinical staffing and training, care coordination and alignment with network providers, and overall clinical and financial performance

• Oversees each market including hospitals; care centers; home visits; and network provider offices to optimize clinical and financial performance

• Provides strategic and operational direction for the delivery of performance-based medical management

• Responsible for clinical outcomes across acute and post-acute care, ambulatory care and chronic disease management, and specialty care for all patients and markets under purview

• Monitors data to ensure that network providers are providing high-quality service to members at a reasonable cost; are effectively working to improve clinical performance, coding, and HEDIS/Star gap measures; and meets regularly with critical primary care and specialty groups to ensure that there is a deep understanding of both performance expectations and the CareMore model

• Manages budget and risk drivers

• Analyzes and reports business performance data to customers, senior management, and company leadership

• Analyzes local profit and loss performance

• Contributes to the internal and external health industry development efforts

• Hires, trains, coaches, counsels, and evaluates the performance of direct reports

Qualifications

• Requires MD or DO and minimum of 5 years of experience as a hospitalist or internist and minimum of 10 years combined administrative and leadership experience; or any combination of education and experience, which would provide an equivalent background.

• Requires current unrestricted medical licensure in applicable state(s).

• Board certification from the American Board of Medical Specialties (ABMS) or American Osteopathic Association (AOA) is required.

• For CareMore business units, satisfactory completion of a Tuberculosis test is a requirement for this position.

Preferred Skills, Capabilities, and Experiences:

• 6 years combined leadership & administrative experience from a healthcare organization

• Experience in inpatient and outpatient care delivery models servicing Medicare and Medicaid patients

• Experience in Medicare Advantage with dual, chronic, and institutionalized special needs plan patients

• Experience in Utilization Management and Cost of Care initiatives

• Understanding of CMS regulations

• Experience in partnering through CMS Audit process

• Understanding of Hospital systems coupled with Healthplan knowledge

• Internal, and or Family Medicine specialty highly desirable

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: PS71173

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 empower you to make an impact?

Build the possibilities. Make an extraordinary impact:

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

How you will make an impact:

• Creates and maintains databases to track business performance.

• Analyzes data and summarizes performance using summary statistical procedures.

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

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

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

• May make recommendations based upon data analysis.

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

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

Qualifications

Minimum Requirements:

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

• Experience with relational databases and knowledge of query tools and statistical software is strongly preferred.

• Ability to manipulate large sets of data strongly preferred.

• Strong analytical, organizational, presentation, and problem solving skills strongly preferred.

Preferred Skills, Capabilities and Experiences:

• Strong experience with SAS is highly desirable.

• Experience with Quest Analytics Software suite is highly preferred.

• Knowledge with Workers' Compensation is a plus.

If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS71020-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?

Product Operations Manager

*Primary Location: Atlanta GA Other locations will be considered

Build the Possibilities. Make an extraordinary impact. The Product Operations Manager will be responsible for the technical aspects of road mapping applications for the Advanced Analytics and Services product management organization, including integration and alignment both within and across applications. Successful candidates in this role will enjoy interacting with product teams in a consultative way to deliver real value. They will have deep curiosity for exploring new ways of working and will embrace new challenges with grit and creativity, persisting until the most efficient path to full resolution is clear.

How you will make an impact:

• Ensure DB&I portfolio roadmaps are properly integrated, reflect the enterprise roadmap, and call out key dependencies.

• Build and maintain integrations between enterprise applications (Aha, Jira, JiraAlign, others).

• Represent DBG AAS as a key technical SME, working across the enterprise to develop best practices and influence standards across the organization.

• Create high-quality instructional content - job aids, demos, training, and videos.

• Onboard new teams to the Aha application and provide support for road mapping tasks.

• Share best practices to help product teams set strategy, capture ideas, prioritize work, and create visual roadmaps.

• Work with product and development teams to build custom reporting, roadmaps, and standard templates.

Qualifications

Minimum Requirements:

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

• Current or former developer, scrum master, or product owner with at least three years of experience working in a dynamic product development environment.

• Experience working with an Agile development process (SCRUM and KANBAN).

Preferred Qualifications:

• Hands-on experience and subject matter expertise managing Aha, Atlassian and/or other road-mapping products in complex environments.

• One or more Aha or Atlassian certifications is a plus.

• Strong analytical, organizational, presentation, and problem-solving skills.

• Experience with relational databases and knowledge of query tools and statistical software.

• Ability to manipulate large sets of data.

• Strong written and verbal communication skills, including the ability to reach technical and non-technical audiences.

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: PS70877-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Unit Specialist Dearborn, MI

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?

PURPOSE: The Unit Specialist provides technical and support services to all claim personnel. Assists the supervisor in controlling the workflow of the unit and handles special project requests. The Unit Specialist deals with sensitive cases and technical questions on which claim personnel requires confirmation, additional information, or instruction; covers for claim load backup due to unusual volume, a shortage of claim personnel, or emergency situations; assures continuity of workflow by assisting in the day-today assignment and redistribution of case work. Handles the more complicated or sensitive telephone inquiries and correspondence.

DUTIES AND RESPONSIBILITIES:

• Primary contact for Labor Relations and Plant medical and secondary for UAW Benefit Representatives.

• Responsible for the review and handling of the daily pre-audit review and post feed error report and e-mail correspondence; OHSIM feed.

• Other combined medical leave of absence related reports and processes

• Performs claim audits as needed and mentors to ensure quality work in performed

• Assist with training as needed

• Functions as the lead to staff by providing technical expertise in the resolution of complex issues

• Backup up for claim processing

• Provides timely and accurate resolution of inquiries and issues regarding claim files completing research as needed.

• Organizes and monitors daily processes for quality and timely completion.

• Acts in the capacity of the supervisor in their absence in reference to workflow

• Assists with Special Projects

• Complete and distribute daily and weekly reports, provide guidance and monitor for compliance.

• Process 4934s and related reports

• Be able to make significant contribution to the claim's teams

• Other duties as assigned

  REPORT RESPONSIBILITIES

• 970 - ERISA Report - daily

• 144 - New Claim Report - daily

• 282 - 4934 Validation - weekly

• 617: ERISA denials

• STD Hourly Lag reports - 14 day and 5-day lags

• 693: STD to LTD transition

• 712- CA claims (ensure offsets are taken) - weekly

• 738: ACS death notification - daily

• Other reports as assigned

Qualifications

• High School Diploma

• Ability to functions as the lead to staff by providing technical expertise in the resolution of complex issues as they relate to claim processing

• Ability to work well with people

• Able to work without significant guidance.

• Comprehensive knowledge of group insurance principles and practices with working knowledge of claim processing

• Proficient contractual understanding of group Short Term Disability, Extended Disability Benefits and Long-Term Disability.

• Computer Skills required

• Excellent oral and written communication skills

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

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

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

  REQNUMBER: PS71749-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Project Manager Sr Location: 100% 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?

Primary duties may include, but are not limited to:

• In addition to all responsibilities of a project manager this position coaches and mentors project team members.

• Manage multiple projects of varying sizes and duration including large projects from a global perspective that incorporates both the business and technical aspects of the project.

• Applying project management knowledge, skills, tools and techniques to project deliverables, processes, and systems.

• Mentors other project managers; determines project scope.

• Develops resource, risk, quality, cost, and scope management plans.

• Develops training plans; develops requirements documents.

• Develops project approval matrix; identifies project team training and tool needs.

• Defines, recommends and secures contractual agreements for services and products.

• Coordinates requirements, schedules implementation and post-implement plans, and develops service-level agreements for vendor partners and global resources firms.

• Defines quality gates for each project methodology phase.

• Defines critical success factors and establishes and manages the project warranty period.

Qualifications

Minimum Requirements

• Requires a BA/BS in a related field and minimum of 5 years professional project management experience required during which at least 3 years are spent leading and directing project tasks; or any combination of education and experience, which would provide an equivalent background.

Preferred Requirements

• Project Management Professional (PMP) certification 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: PS71197-US

Job Detail

• Company:
  Anthem, Inc.