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?

Location: United States, Remote

Build the Possibilities. Make an extraordinary impact:

Primary duties may include, but are not limited to: - Receives provider applications and contacts providers for any additional supporting documentation or clarification. - Builds file documentation and prepares file for credentialing committee review. - Applies general guidelines in determining whether provider meets criteria and documents deficiencies. - Prepares correspondence to providers regarding status. Assists in researching pended and probated applications and resolving discrepancies. - Refers non-approved providers or questionable situations to senior representative. - May assist in provider education and preparation of provider training materials.

How you will make an impact:

The Credential Specialist builds provider credentials file and makes file determinations regarding required credentialing criteria based on general guidelines, ensuring compliance with internal policies and external regulatory agencies.

Qualifications

Minimum Requirements:

- Requires high school diploma or GED. - A minimum of 1 year of credentialing or related experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities, and Experiences:

- CAQH experience preferred. - 1-3 years of credentialing experience.

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

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 If you are not vaccinated, your offer will be rescinded unless you provide - and Anthem approves - a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to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

Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World's Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com.

Anthem is an Equal Employment Opportunity employer, and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

REQNUMBER: PS71327

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

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

Primary duties may include, but are not limited to:

• Provides analytical support to the Cost of Care and/or Provider Contracting organizations.

• Focuses efforts on lowering claims costs, improving the quality of care, and increasing member and provider network satisfaction.

• Provides expert advice, analytic and consultative support to Medical Directors and management on cost of care issues.

• Works on large scale initiatives with high dollar cost savings opportunities.

• Partners with provider contractors to develop contracting strategy and supports all aspects of the contract negotiation process.

• Can work with multiple provider types, e.g. physician, ancillary, medical groups, or hospitals.

• Supports a full range of contract arrangements and pricing mechanisms.

• Works on complex enterprise-wide initiatives and acts as project lead.

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

• Types of analyses include performing sophisticated retrospective data analytics.

• Building new and modifying existing complex models to create predictive impact decision making tools.

• Performing healthcare cost analysis to identify strategies to control costs.

• Projecting cost increases in medical services by using analytic techniques for PMPM trending via multiple variable analysis.

• Preparing pre-negotiation analysis to support development of defensible pricing strategies

• Performing modeling to compare various contract scenarios based on member utilization patterns and 'what if' logic.

• Measuring and evaluating the cost impact of various negotiation.

• Researching the financial profitability/stability and competitive environment of providers to determine impact of proposed rates and projects different cost of savings targets based upon various analytics.

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

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

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

• Recommends standardized practices to optimize cost of care.

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

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

• Participates on project team involved with enterprise wide initiatives.

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

Qualifications

Minimum Requirements

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

  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: PS70337-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?

Leads development of instructional materials for vendors and MBUs to give direct and clear direction to vendor and Company staff on Company policies and procedures.

Primary duties may include, but are not limited to: - Trains and educates vendors on claims, membership and underwriting transactions and Company policies and procedures. - Audit's vendor transactions for accuracy. - Collaborates with operations management and exchanges data with vendors on a daily basis to ensure smooth daily business operations. - Determines the appropriate job functions and level of work to assign to the vendor to maximize cost savings for the Company. - Evaluates and modifies current workflows and devises new workflows to reduce current turnaround times and create cost savings for the Company.

Qualifications

- Requires HS diploma and a minimum of 2 years relevant claims or customer service experience; or any combination of education and experience which would provide an equivalent background.

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

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

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

REQNUMBER: PS71102

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Customer Care Representative I St. Louis, MO

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. A proud member of the Anthem, Inc. family of companies, IngenioRx leverages the power of new technologies and a strong, clinical-first lens, to deliver member-centered, lasting pharmacy care. As a Customer Care Representative I, you will be responsible for successfully completing the required basic training. As a Customer Care Representative I, you will be able to perform basic job functions with help from co-workers, specialists and managers on non-basic issues. You must pass the appropriate pre-employment test battery.

How you will make an impact:

• Responds to internal and external customer questions via telephone and written correspondence regarding insurance benefits, provider contracts, eligibility, and claims.

• Analyzes problems and provides information/solutions.

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

• Thoroughly documents inquiry outcomes for accurate tracking and analysis. Develops and maintains positive customer relations and coordinates with various functions within the company to ensure customer requests and questions are handled appropriately and in a timely manner.

• Researches and analyzes data to address operational challenges and customer service issues. Provides external and internal customers with requested information.

• Under immediate supervision, receives and places follow-up telephone calls / e-mails to answer customer questions that are routine in nature. Uses computerized systems for tracking, information gathering and troubleshooting.

• Outbound calls are conducted in the ZipDrug business area.

Qualifications

Minimum Requirements:

• Requires a HS diploma or equivalent

• Previous experience in an automated customer service environment

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

Preferred Skills, Capabilities and Experience:

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

• Insurance 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: PS57093-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-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?

Product Development, Business Information Consultant

*Preferred location: Virginia Other locations will be considered

Build the Possibilities. Make an extraordinary impact.

The Product Development, Business Information Consultant is responsible for serving as an expert in data analysis, reporting and formulating recommendations, and providing guidance to other Data Analysts. You will be a member of the Product Development Team and will collaborate with business and technical areas to create or enhance technical products.

How you will make an impact:

• Partner with the business to understand data needs and help write requirements for data mart needs, and reporting needs. Write user stories and test the delivery.

• Utilize data architecture, and insights to drive requirements to various development teams that could include reporting teams, Microservices, Cloud hosting, etc.

• Test products as they are developed using data and write defects using JIRA.

• Analyzes data and summarizes performance using summary statistical procedures.

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

• May require taking business issues and devising the 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 encompass a much higher level of complexity).

Qualifications

Minimum Requirements:

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

Preferred Qualifications:

• Ability to manipulate large sets of data strongly preferred.

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

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

• Strong Analytical skills using large data sets

• Attention to detail and being organized while working with many stakeholders to gain consensus

• Good organizational skills and good documentation skills to model, or document decisions, open questions, and drive to closure, open items

• Experience in working within a Scrum Team delivering business systems software

• Experience using Agile delivery tools such as JIRA, Confluence, Trello, etc

• Self-driven, detail-oriented, good organization and note-taking skills

• SAFe Product Owner/Product Manager (SPO/PM) Training or SAFe Fundamentals coursework

(This position title has the word -Consultant- in it to mean that the person in this role is responsible for making recommendations and suggestions on how to solution and solve the problems, not just to perform the analysis. This position is not an order taker. It requires strong data analytical capabilities in order to perform the analysis, and then propose a recommendation based on that analysis).

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: PS71068

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 act 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?

Engineer Lead Data Analytics Location: REMOTE W@H

Build the Possibilities. Make an extraordinary impact. The Engineer Lead is responsible for full delivery of end-to-end system development and maintenance on medium Enterprise-wide technology platforms. Support overall production management, lights on, balancing and controls Foundation data platform and enablement.

How you will make an impact:

• Manage production runs for applications, review production failures and provide or review resolutions.

• Performing balancing and control activities for balancing on claims and membership data with general ledger

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

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

• Provides technical advice and weighs in on technical decisions that impact cross functional teams.

• Performs technical design reviews and code reviews, technical testing to ensures unit test is completed and meets the test plan requirements, system testing is completed, and system is implemented according to plan.

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

• Architect and design ETL solutions in Informatica, SQL queries and stored procedures, APIs and securing them for internal/external access.

• Perform quality checks, test strategies, business requirement to test cases and setting up regression test case is desirable.

Qualifications

Minimum Requirements:

• Requires a BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 7 years related experience; multi-platform, multi-dimensional experience, and expert level experience with business and technical applications; or any combination of education and experience, which would provide an equivalent background.

• Experience working with large data warehouses and different warehousing technologies including Teradata, AWS, Snowflake.

• Experience with data flow (ETL) process architecture, design, build and test for analytic software solutions using RDBMS (Teradata), SQL Server, Informatica, Unix.

• Experience with advanced scripting on the UNIX operating system to manage files, processes, initiate and control various data-related jobs.

Preferred Skills, Capabilities, and Experiences:

• Experience designing, building, and testing analytic software solutions using Big Data technologies (HDFS, Hive, Impala, Kafka, Spark, Scala).

• Experience with performance tuning of BTEQ jobs, Informatica mappings/workflow.

Applicable to Colorado Applicants Only Annual Salary Range*: $110,400 - $138,000. Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. * The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or

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

REQNUMBER: PS71543

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.

Identifies and creates test assets and performs application testing.

How you will make an impact:

• Leads and coordinates testing for small to medium initiatives.

• Identifies, creates, and executes the appropriate Test Assets (plans, cases, scripts, metrics) to assure the developed application conforms to requirements and design.

• Coordinates/executes testing across multiple testing phases, including SIT, UAT, and Regression.

• Defines appropriate testing methods to employ to assure developed application conforms to requirements and design.

• Leads Peer Reviews to ensure the completeness of all Test Assets created.

• Ensures all applicable SDLC and testing processes are followed.

• Executes linkage from test plan to test scenarios and test cases.

• Assists in the creation of or creates and communicates all testing deliverable(s) (MTP, TES, etc. Identifies when test automation is appropriate.

• Coordinates, identifies, and executes test cases.

• Identifies, reports, and reviews defects in assessing application quality.

• Leads defect triage for smaller or medium initiatives.

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

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

• May participate in the transition of software and systems into production.

• Identifies and collects Test Data for test execution.

• Accountable for Test Data Management, collection of requirements, evaluation of available data in repositories,

• ID gaps, and owns test data provisioning tasks.

Qualifications

Minimum Requirements:

Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum 3 years executing application testing and/or IT quality experience; or any combination of education and experience, which would provide an equivalent background. Quality Certification, such as CSTE, CSQA, CMST, CSQE strongly preferred. If this job is assigned to any Government Business Division entity, the applicant and incumbent fall under a `sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed

(CO Colorado Pay)

Applicable to Colorado Applicants Only

Annual Salary Range*: $111,000 - $139,000

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

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

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

  REQNUMBER: PS70884

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Proofreader

United States

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 a part of a larger purpose and evolving, high-performance culture that empowers you to make an impact?

How you will make an impact:

The Proofreader is responsible for providing proofreading support to the Marketing Communications (Marcom) team.

Primary duties may include, but are not limited to:

• Ensures accuracy of materials produced by Marcom, and compliance with Corporate, Brand, Legal and Plain Language guidelines.

• Proofreads high-profile design and copywriting projects.

• Helps educate internal and external writers and designers on updates to the Corporate, Brand, Legal and Plain Language guidelines.

• Maintains strict adherence to marketing/production deadlines and provides final sign-off on projects at file release stage to ensure accuracy.

Qualifications

Minimum Requirements:

• Requires a BA/BS degree in Communications, Journalism or a related field and a minimum of 2 years of professional proofreading experience; or any combination of education and experience, which would provide an equivalent background.

  Preferred Requirements:

• Experience in health insurance or managed care preferred.

• Strong written communication skills and a solid command of the English language.

• Working knowledge of Associated Press style guidelines.

• Experience using Adobe or Workfront preferred.

• Efficiency in Microsoft Office 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: PS71158-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team!

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

Build the Possibilities. Make an extraordinary impact.

Creates statistical models to predict, classify, quantify, and/or forecast business metrics. Design modeling studies to address specific business issues determined by consultation with business partners.

How you will make an impact:

• Prepares analytical data sets in support of modeling studies.

• Build, test, and validate statistical models. Publishes results and address constraints/limitations with high level business partners.

• Proactively collaborates with business partners to determine identified population segments and develop actionable plans to enable the identification of patterns related to quality, use, cost and other variables.

Qualifications

Minimum Requirements:

Requires MS, MA, or PhD with concentration in a quantitative discipline such as statistics, computer science, cognitive science, economics, or operations research, a minimum of 3 years direct experience programming large, multi-source datasets with SAS required, and a minimum of 3 years in health care setting; or any combination of education and experience which would provide an equivalent background. PhD preferred. Intermediate to Advanced expertise with software such as SAS Stat, SAS ETS, SAS Enterprise Miner or equivalents strongly preferred. Experience with Teradata, SQL, SQL Server, or equivalent strongly preferred. Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, constructing robust and efficient analytical data sets strongly preferred. Significant experience in healthcare related field strongly preferred. The ability to present meaningful results to a business audience, to participate collaboratively in a team tasked to produce complex analyses on a rigorous schedule, to communicate with strong written and verbal communications skills, and to present to large multi-disciplinary audiences on a regular basis strongly preferred.

(CO Colorado Pay)

Applicable to Colorado Applicants Only

Annual Salary Range*: $87,000 - $109,000

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

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

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

  REQNUMBER: PS70602-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

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

Build the Possibilities. Make an extraordinary impact.

Creates statistical models to predict, classify, quantify, and/or forecast business metrics. Designs modeling studies to address specific business issues determined by consultation with business partners.

How you will make an impact:

• Prepares analytical data sets in support of modeling studies Build, test, and validate statistical models.

• Develops original algorithms and implement in systems and tools that will be used to develop new predictive models and provider profiles that go beyond standard industry tools and lead to innovative solutions to address cost and use of medical benefits.

• Publishes results and address constraints/limitations with high level business partners.

• Provides high-level controllership/evaluation of all data produced to ensure established targets are met.

• Determines the continuous improvement opportunities of current predictive modeling algorithms.

• Proactively collaborates with business partners to determine identified population segments and develop actionable plans to enable the identification of patterns related to quality, use, cost and other variables.

Qualifications

Minimum Requirements:

• Requires Doctoral degree in Biostatistics, Statistics, Mathematics, Epidemiology or equivalent training and mastery and a minimum of 10 years' experience in related health care analytics; or any combination of education and experience which would provide an equivalent background.

• Advanced expertise with software such as SAS Stat, SAS ETS, SAS Enterprise Miner or equivalent strongly preferred. Intermediate to Advanced knowledge of Teradata, SQL, SQL Server, or equivalent strongly preferred. Experience in large complex systems, including a solid background in effective use of multiple environments (PC, server, mainframe, intranet) strongly preferred.

• Proven ability to design modeling studies and experience with data models, addressing data quality issues in study design, constructing robust and efficient analytical data sets strongly preferred.

• Demonstrated experience in managing the design, development, and continuous improvement of complex healthcare data systems, tools, and reports strongly preferred. Proven ability to present meaningful results to a business audience strongly preferred.

• Demonstrated leadership competencies with the ability to collaborate with others and establish working relationships, communicate effectively across the organization and at different levels, coordinate multiple work efforts, and translate business needs into practical applications and solutions strongly preferred.

  (CO Colorado Pay)

  Applicable to Colorado Applicants Only

  Annual Salary Range*: $116,000 - $146,000

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

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

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

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

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

  REQNUMBER: PS70603-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title: Cloud Cost Optimization & Governance Consultant Location: Remote

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

Performs analysis and research of systems and networks. Reviews detailed business and technical requirements in order to recommend technical solutions.

Primary duties may include, but are not limited to:

• Work closely with Development Teams, Cloud Security & Compliance, Infrastructure Teams, etc. to execute on cloud cost-saving initiatives

• Work with Finance, Procurement, AWS Account Team, etc. to estimate savings and finalize agreements and/or remediate billing discrepancies

• Subject Matter Expert on AWS cloud cost strategies like EDP, Auto Scaling, Reserved Instances, Savings Plan, Tagging, etc.)

• Develops complex solutions, diagnostic, predictive/forecasting, and prescriptive financial models from business requirements and architectural specifications; provides input to set or amend architectural specifications.

• Prepare and deliver senior leadership/executive-level presentations to technical and business teams

• Seeks IT managements approval and acceptance of cloud application deployments to ensure best practices of cloud cost optimization is being performed

• Directs the construction of architecture components (e.g., data architecture, application architecture, technical architecture).

• Participates in the design of the enterprise architecture.

• Identify and drive implementation of additional data sources and processes to provide new segmentation into FinOps reporting.

• Develop and maintain AWS Cloud Optimization roadmap

• Create FinOps benchmarking and cost avoidance frameworks; Identify areas of opportunity to reduce AWS cloud spend

• Maximize effectiveness, delivery, and usage of FinOps business intelligence tool, Cloudability.

• Establish governance processes to ensure transparent and reproducible reporting and analyses.

• Provide day-to-day cloud cost optimization governance.

• Demonstrate maturity and understanding of one or more Public Cloud (AWS, Azure, and GCP) offerings, particularly AWS

• Continuous assessment of Cloud (in particular AWS) discount program(s) and work closely with AWS TAM, Account Team, and Vendors.

Qualifications

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

• Minimum of 10 years in one or more of the following: information systems, computer networking, telecommunications, systems development and management required;

• Significant experience with multiple technical and business disciplines required including 3-5 years of AWS Cloud optimization experience

• Experience with CloudHealth

• Experience collecting and delivering metric reports with BI dashboard modeling

• Experience working in cloud infrastructure and with cloud management tools; knowledge in AWS CloudFormation scripts

• Complete understanding of RIs and AWS billing tools and procedures

• Broad-based experience to plan and design highly complex systems;

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

  Preferred Qualifications:

• 3-5 years of experience leading analytical initiatives with a heavy emphasis on data analysis

• 3-5 years of experience creating analytics and measurement frameworks

• Analytic and modeling experience

• Six Sigma Green Belt

• Experience in Finance

• Healthcare Industry experience

• AWS Certification is a big 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: PS69883-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?

Job Description:

BH Care Manager I

This position is both telephonic and field based. You will support our members with approximately 50% of field work in the San Antonio territory. (Note: Temporarily not doing field work. Telephonic outreach only due to the pandemic). Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health, physical health and substance abuse or substance abuse disorder needs.

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

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

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

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

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

• Performs psychiatric and substance abuse or substance abuse disorder assessment coordination implementation case planning monitoring and evaluating to promote quality member outcomes to optimize member health benefits and to promote effective use of health benefits and community resources.

  Behavioral Health Case Manager II

  Job Description:

  This position is both telephonic and field-based. You will support our members with approximately 50% of field work in the San Antonio territory. (Note: Temporarily not doing field work. Telephonic outreach only due to the pandemic). Responsible for performing case management telephonically and/or by home visits within the scope of licensure for members with behavioral health, physical health and substance abuse or substance abuse disorder needs.

  Primary duties may include but are not limited to:

• Completes face-to-face visits with the member in the home, hospital, and other community settings, such as doctor's offices, treatment centers, etc. (Temporarily, outreach is telephonic only due to the pandemic.)

• Responds to more complex cases and account specific requests.

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

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

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

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

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

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

• Identifies members that would benefit from an alternative level of care or other waiver programs.

• Assists in problem-solving with providers and the health care team.

• Serves as a resource to other Case Managers.

• Participates in cross-functional teams projects and initiatives.

Qualifications

BH Care Manager I

Job Qualifications:

• Requires MA/MS in social work, counseling, or a related behavioral health field or a degree in nursing, and minimum of 3 years clinical experience in social work counseling with broad range of experience with complex psychiatric and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

• Current active unrestricted license such as RN, LCSW (as applicable by state law and scope of practice) LMHC, LICSW, LPC (as allowed by applicable state laws) LMFT, LMSW (as allowed by applicable state laws) or Clinical Psychologist to practice as a health professional within the scope of licensure in applicable states or territory of the United States required.

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

• Managed care experience required.

  Preferred Qualifications

• Experience in health coaching and motivational interviewing techniques.

• Experience working on multiple computer platforms simultaneously.

• Excellent typing skills.

• Experience working in a field-based position.

  Behavioral Health Case Manager II

  Minimum Requirements:

• Must be located in the San Antonio, TX area and have the ability to travel (temporarily telephonic only due to the pandemic) up to 50% in the San Antonio, TX area.

• Requires MS or MA in social work counseling or a related behavioral health field (or) a degree in nursing; 3- 4 years of clinical experience in social work counseling with broad range of experience with complex psychiatric, complex medical and substance abuse or substance abuse disorder treatment; or any combination of education and experience which would provide an equivalent background.

• Requires professional licensure such as an LPC, LCSW, LMFT or RN to practice as a mental health service professional within the state of Texas.

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

• Managed care experience required.

  Preferred Qualifications

• Experience in health coaching and motivational interviewing techniques.

• Experience working on multiple computer platforms simultaneously.

• Excellent typing skills.

• Experience working in a field-based 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 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: PS70388-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Be part of an extraordinary team

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

Build the Possibilities. Make an extraordinary impact.

The Clinical Quality Program Administrator will be responsible for overseeing the quality improvement activities/projects as outlined in the Quality Improvement (QI) work plan and as required by applicable law, regulations and accreditation standards.

How you will make an impact:

• Ensures integration of quality into the overall business process.

• Performs assessments to identify gaps in the enterprises quality and technology assessment processes and initiates actions to correct these gaps.

• Assures accuracy and completeness of input provided to internal and external QI committees and timely implementation of appropriate interventions.

• Oversees the clinical quality improvement activities/projects to implement appropriate clinical interventions to improve the quality of care for members.

• Assures compliance with corporate QI work plans.

• Assures QI activities are relevant to the targeted population.

• Assures compliance to Practice Guideline, Delegation and Continuity and Coordination of care Standards.

• Maintains documentation of research programs to meet regulatory and Accreditation Standards.

• Provides oversight to assure accurate and complete quantitative analysis of clinical data and presentation of results.

• May provide oversight to the Healthcare Effectiveness Data and Information Set (HEDIS) project team.

Qualifications

Minimum Requirements:

Requires a BS in health administration, nursing or related clinical field; 3 years of health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Skills, Capabilities and Experience:

• Current unrestricted license or certification in applicable field preferred (i.e. CPHQ).

• MS in the health field (i.e. Nursing) 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: PS70304-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 supporting the closing, reconciling, analysis and reporting of the general ledger.

Primary duties may include, but are not limited to: - Completes highly complex account reconciliation. Prepares internal and external monthly, quarterly and annual financial reporting and analysis. Verifies the integrity of monthly results by completing various analyses and interpreting the data.

Qualifications

- Requires a BA/BS in Accounting or Finance and a minimum of 2 years previous accounting experience; or any combination of education and experience, which would provide an equivalent background. - CPA, CMA, or MBA preferred. - Previous work experience with month-end close processes, account reconciliation and statutory accounting principles preferred. U.S. Citizenship is required for employment within TrustSolutions.

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: PS71079

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

our Talent. Our Vision . At Anthem, Inc., it's a powerful combination, and 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.

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

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

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

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

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

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

• Opportunities to grow and develop through social and networking event

  What we are looking for:

  Interns will be assigned to a specific group within Chief Technology Office based on skill set and need of the business.

  Preferred experience for students includes but not required:

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

• SAS SQL Databases, Querying languages

• Text Analytics and Natural Language Processing, Sequence Labeling

• Machine learning, Probabilistic and Statistical Learning Methods

• Deep Learning, recurrent neural networks, Convolutional neural networks

• Emerging topics in artificial intelligence, intelligent systems, conversational bots, and knowledge representation and reasoning

  Interns are an integral piece to our IT divisions supporting various assets of internal and external facing technology assets; thus, they are required to have the following skill sets:

• Excellent verbal and written communication

• Advanced problem-solving skills using logic and data

• Critical thinking and analytical skills

• Ability to articulate complex technical issues to those not as experienced

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

Qualifications

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

• Graduation date between Aug 2022 and Dec 2024

• GPA of 3.0 or above

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

• Advanced user of Excel, PowerPoint, and Word

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

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

  REQNUMBER: PS71715

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:

Performs analysis and research of systems and networks. Reviews detailed business and technical requirements in order to recommend technical solutions.

How you will make an impact:

• Creates solution designs that address mildly complex solutions to address business needs.

• Develops standard solutions from business requirements and architectural specifications.

• Designs complex system and network upgrades.

• Validates the detailed architecture requirements for an application/technology to conform to the current and target architecture and standards.

• Consults to projects and application support groups regarding architecture concerns.

• Designs and analyzes mix of vendor services meeting business requirements.

• Performs capacity analysis.

Qualifications

Minimum Requirements:

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

• Multiple trade certifications strongly preferred.

Preferred Skills, Capabilities and Experience:

• Experience with VM Ware is highly 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: PS69082-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Location: Remote

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

Build the Possibilities. Make an extraordinary impact.

The Anthem Digital team is focused on developing a novel approach to payment integrity focused on efficient and high-fidelity processes. You will play a critical role in providing clinical support and guidance to the team of data scientists, product managers, and business leaders responsible for the creation of this new product. In this role, you will use your expertise and deep knowledge of the payment integrity process, ensuring accurate and timely management of all stages of claims processing. Your work will involve close partnership with product and data science teams, advising and supporting them to ensure that clinical guidelines, member outcomes, bias, and safety are all considered as the team builds artificial intelligence and machine learning algorithms into their core product. You will also ensure that impacts on provider workflows and relationships are considered in the product. In doing so, you will represent Anthem in partnerships and working groups with practicing clinicians throughout the Anthem ecosystem to ensure that the payment integrity product meets the needs of all relevant stakeholders. In all of your work across both these key responsibilities as well as any other areas you are involved in, you will apply your clinical knowledge and expertise to support a wide variety of initiatives in digital health, always focused on measurably improving health outcomes for Anthem members.

How you will make an impact:

• Collaborates with physicians and business leaders across the clinical organization to define the future of clinical strategy and roadmap within the digital organization and Anthem.

• Develops strategy and roadmaps regarding our physician facing products and designs solutions for underserved members with specialists such as clinicians, behavioral economists, and technologists.

• Serves as a resource and consultant to other areas of the company and may be required to represent the company to external entities and/or serve on external committees. Influences internal and external stakeholders on both the patient and provider-side. Identifies and develops opportunities for innovation to increase effectiveness and quality of clinical programs.

• Focus on technology (business side of innovation): Serves on external technology development committees for setting industry standards in clinical practice. Collaborates with others in the development of market viable business models for innovative products.

• Writes clinical requirements for innovative products and services to represent both the needs of the patient and the provider.

• Works with clinical teams to ensure that near term business needs are being addressed through innovative projects.

• Focus on clinical data and informatics (clinical credibility): Drives publication of key results of interventions and studies to prove member, medical and scientific benefit.

• Engages with key stakeholders within medical associations to drive conversations around an evolving standard of care.

• May be called on to support various Anthem Digital initiatives or products, ensuring the Digital Care Solution team's work is used to drive clinical integrity across all digital health programs, member-facing products and programs, and provider-facing products and programs.

• May also participate in activities such as appropriateness criteria reviews; medical technology assessments; implementing remote patient monitoring tools; and creating and executing QI initiatives that support digital health interventions across both member- and provider-facing applications.

Qualifications

Minimum Requirements:

• Requires MD or DO

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

• Must possess an active unrestricted medical license to practice medicine or a health profession.

• Minimum of 3 years of post-residency experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Strong oral, written and interpersonal communication skills

• Expertise and deep knowledge of the payment integrity process

• Problem-solving skills

• Facilitation skills

• Analytical skills

• Digital health product or program development knowledge or experience

• Understanding of general user experience design

• Understanding of general data science principles, including machine learning

• Clinical informatics experience

• Process improvement experience

• Billing and coding experience

• Knowledge and experience with quality metrics (e.g. HEDIS)

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: PS71044-US

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Business Analyst III Schedule: Monday-Friday; 7am-6pm (Flexible) Location: Remote

Be part of an extraordinary team

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

Duties & Responsibilities This is an exceptional opportunity to do innovative work that means more to you and those we serve. This opportunity is within Diversified Business and Insights (DB&I) team specifically in the Advanced Analytics and Services Group (AAS). The AAS team is responsible for High Tech Product Development to support multiple lines of services.

Responsible for serving as the liaison between the business and IT in translating complex business needs into application software. Primary duties may include, but are not limited to: - Analyzes complex end user needs to determine optimal means of meeting those needs. - Determines specific business application software requirements to address complex business needs. - Develops project plans and identifies and coordinates resources, involving those outside the unit. - Works with programming staff to ensure requirements will be incorporated into system design and testing. - Acts as a resource to users of the software to address questions/issues. - May provide direction and guidance to team members and serves as an expert for the team. - Support a Product Owner, in writing User Stories, user acceptance criteria and testing

Qualifications

Requirements - Requires a BA/BS - Minimum of 5 years business analysis experience; or any combination of education and experience which would provide an equivalent background. - Knowledge of systems capabilities and business operations is strongly preferred.

Preferences - Experience in working within a Scrum Team delivering business systems software - Experience using Agile delivery tools such as JIRA, Confluence, Trello, etc - Self-driven, detail oriented, good organization and note taking skills - Knowledge of Agile Development, Scaled Agile Framework, etc - Business Analyst Certification from IIBA (International Institute of Business Analysis) - SAFe Product Owner/Product Manager (SPO/PM) Training or SAFe Fundamentals coursework

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: PS70915-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?

The Business Change Director will play a key role in supporting the growth, evolution and maintenance of Anthem's Network Solutions including custom network arrangements. This role will be responsible for working with cross-functional stakeholders focused on developing value based provider strategies and monitoring execution of these plans to enhance network portfolio.

Successful candidate will be a self-starter who bring a mix of intellectual curiosity, a commitment to excellence, attention to detail, an interest in spanning strategy and execution, and business consulting skills.

Business Change Director

Location: Remote opportunity-EST and CST time zones preferred

Build the possibilities. Make an extraordinary impact .

As a Business Change Director , you will be responsible for working with management to identify and implement strategic network solutions, programs and plans, working cross- functionally to optimize and maintain the existing network that support achievement of value-based business unit and enterprise goals.

How you will make an impact:

• Specializes in network effectiveness to include data analysis and ensures activities are aligned with corporate strategy.

• Identifies potential issues, project change, and scope data.

• Leads efforts to identify best practices.

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

• Develops and designs processes and systems that support network and value-based care business needs.

• Designs methods for integrating functions and processes.

• Conducts network cost/benefit analyses.

• Builds support for business change, network reassessment throughout Provider Solutions business unit.

• Provides process, project, and change management methodology coaching/consulting support to both local and enterprise wide initiatives.

• Leads the network solutions prioritization and scheduling activities for the business unit.

• Provides expertise in process planning and portfolio management activities.

• Supports the execution of the operating plan.

Qualifications

Minimum Requirements:

Requires a BA/BS in a related field and minimum of 10 years managing mid to large-scale change/project initiatives; or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Qualifications:

• Knowledge of planning models and methodology, project management and change management experience (strategic and execution) strongly preferred

• Previous network development and/or value-based payment arrangement experience is strongly preferred

• Masters degree preferred

• Up to 20% travel may be required

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

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

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

  REQNUMBER: PS70889-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

Job Title - Financial Analyst Sr.

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

Be part of an extraordinary team

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

Build the Possibilities. Make an extraordinary impact.

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

How you will make an impact:

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

• Update actuarial models as directed.

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

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

Qualifications

Minimum Requirements:

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

• At least one actuarial exam completed

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

Preferred Skills, Capabilities, and Experiences:

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

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

• Exceptional written, oral, and interpersonal communications

• Exceptional in problem-solving and critical thinking

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

• Prior experience in corporate environment internship

• Prior experience in an insurance industry internship

Applicable to Colorado Applicants Only

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

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

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

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

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

REQNUMBER: PS71031

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?

This position can be filled at Data Science Solutions Consultant or Data Science Solutions Consultant Sr. level. The hiring manager will determine the level, based on the candidate's experience and background.

Build the possibilities. Make an extraordinary impact:

Data Science Solutions Consultant:

Responsible for design and development of analytic models, applications and supporting tools, which enable Data Scientists to create algorithms/models in a big data ecosystem.

Data Science Solutions Consultant Sr.:

Responsible for design and development of analytic models, applications and supporting tools, which enable Data Scientists to create algorithms/models in a big data ecosystem.

How you will make an impact:

Data Science Solutions Consultant:

• Assists with the design, implementation and delivery of an insights data pipeline supporting analytic products across the organization.

• Design and integrate data from different sources.

• Forms analytics platform components and/or processing components required to provide a business solution.

• Engage with business stakeholders to design and own end-to-end solutions to empower data driven decision making.

• Leverage data, technology and quantitative methods to form products that inject analytics and insights into daily workflow of teams.

• Defines application scope and objectives, including impact to interfaces.

• Ensures appropriate data testing is completed and meets test plan requirements.

• Coordinates integration actions to ensure successful implementation.

Data Science Solutions Consultant Sr.:

• Design, implement and delivery of an insights data pipeline supporting analytic products across the organization.

• Design and integrate data from different sources.

• Forms analytics platform components and/or processing components required to provide a business solution.

• Engage with business stakeholders to translate needs and product specifications.

• Leverage data, technology and quantitative methods to form products that inject analytics and insights into daily workflow of teams.

• Defines application scope and objectives, including impact to interfaces.

• Ensures appropriate data testing is completed and meets test plan requirements.

• Coordinates integration actions to ensure successful implementation.

• Mentors Data Science Sol Consultants.

• Administer analytical projects and pilots for tool upgrades.

• Responsible for interpreting big data/analytic projects that integrate large volumes of data, performs analysis and recommends actionable insights.

Qualifications

Minimum Requirements:

Data Science Solutions Consultant:

• Requires a Bachelor's degree in Computer Science, Mathematics, or related disciplines; 2 years experience in predictive analytics and experience with software such as Hadoop technologies; 2 years Teradata experience and complex SQL, or equivalent; or any combination of education and experience which would provide an equivalent background.

• Strong knowledge of BTEQ and multi database preferred.

Data Science Solutions Consultant Sr.:

• Requires a Bachelor's degree in Computer Science, Mathematics, or related disciplines; 3-5 years experience in predictive analytics and experience with software such as Hadoop technologies; 3-5 years Teradata experience and complex SQL, or equivalent; or any combination of education and experience which would provide an equivalent background.

• Experience with deployment techniques within an agile development methodology.

• Strong knowledge of BTEQ and multi database preferred.

Preferred Skills, Experience and Capabilities:

Data Science Solutions Consultant:

• 2 years of hands-on experience programming API and RESTful web services.

• 1 - 2 years of RDBMS experience.

• Strong knowledge in container-based platforms, such as OpenShift/Kubernetes and cloud environments highly preferred.

Data Science Solutions Consultant Sr.:

• 3 - 5 years of hands-on experience programming API and RESTful web services.

• 1 - 2 years of RDBMS experience.

• Strong knowledge in container-based platforms, such as OpenShift/Kubernetes and cloud environments highly 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: PS69322-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 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:

• Experience with Change Management is highly desirable.

• Experience creating Team Processes and Controls.

• SSRS & SSIS Development experience.

• Tidal Workload Automation experience.

• Experience with Tableau Development.

• MS Power BI Development experience.

• Experience with Atlassian Software Tools; JIRA, Bitbucket, Bamboo and Confluence.

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: PS71182-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?

The Systems Analyst Senior Advisor is responsible for defining and managing the scope of Business Systems projects.

Primary duties may include, but are not limited to:

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

• Creates and performs feature testing and determines environmental needs.

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

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

• In depth knowledge of tools utilized.

• Defines detail design components with high level architecture blueprints.

• Coordinates integration activities to ensure successful implementation.

• Ensures effective monitoring of systems.

• Defines development strategy, standards and support tools.

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

Qualifications

Minimum Requirements:

• Requires an BA/BS degree in Information Technology, Computer Science or related field of study and a minimum of 8 years experience in a variety of technologies, documenting requirements and/or building test cases; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications:

• Business Analyst or Business Systems Analyst certifications strongly preferred.

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

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

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: PS71206-Virginia

Job Detail

• Company:
  Anthem, Inc.

Job Description

Description

SHIFT: Day Job

SCHEDULE: Full-time

LTSS Service Coordinator-RN Clinician

Virginia

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

This is a Remote position with some Traveling.

The LTSS Service Coordinator-RN Clinician is 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 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.

• May also assist in problem solving with providers, claims or service issues.

• 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.

Qualifications

Requirements:

• Requires an RN; 3-4 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. Masters in Health/Nursing preferred.

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

• Travel Required

Preferred Qualifications:

• Previous home health experience preferred.

• Previous experience working from home preferred.

• Previous experience working at MLTC/Care Management/Managed-care/Home Care/LHCSA

• Master's Degree in Nursing.

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: PS71035

Job Detail

• Company:
  Anthem, Inc.