Anthem Inc. Medical Jobs

Job Information

Anthem, Inc. Process Expert II in Cincinnati, Ohio

Description

SHIFT: Day Job

SCHEDULE: Full-time

Process Expert II

Supports a single operations department by participating in project and process work.

Primary duties may include, but are not limited to:

  • Researches operations workflow problems and system irregularities.

  • Develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements.

  • Develops and leads project plans and communicates project status.

  • Responsible for quality committee calendar, committee meeting material and meeting minutes.

Qualifications

  • Requires a BA/BS and minimum of 5 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing);

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

  • Ability to analyze workflows, processes, supporting systems and procedures and identifying improvements strongly preferred.

For URAC accredited areas the following applies:

  • Requires strong oral, written and interpersonal communication skills.

  • Requires problem-solving skills, facilitation skills, and analytical skills.

Preferred Qualifications:

  • Familiar with NCQA Accreditation standards and elements

  • Work on Quality related projects as necessary and as required

  • Experience working with internal cross-functional partners across the enterprise.

  • Familiar with Medicare Advantage HEDIS specifications

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, 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. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS58743-Ohio

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