Anthem Inc. Medical Jobs

Job Information

Anthem, Inc. Small Group Support Specialist in Cincinnati, Ohio

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your 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 benefits companies and a Fortune Top 50 Company.

SMALL GROUP SUPPORT SPECIALIST - Responsible for supporting new and renewal business processes.

Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the expectation that you will return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities.

Description:

  • Primary duties may include, but are not limited to: Reviews 1-50 new business applications, legal documentation and validates eligibility, Reviews monthly renewal output, corrects errors, and reviews off cycle benefit modifications.

  • Reviews and updates member level and broker of record changes, and creates updated/missed renewals using manual workflow or tool.

  • Reviews 51-99 new business applications, legal documentation, including Risk Adjustment Factor (RAF) assignment based on Standard Industrial Classification (SIC) code.

  • Supports Anthem Circle of Excellence (ACE) and Select Agent service.

  • Applies knowledge of regulations, laws, mandates, and policies to answer questions, educate, and provide expertise to internal and external contacts (agents, general agents, employers, account managers, operations, broker services, etc.).

  • Responsible for completing participation audits and notifying groups not meeting eligibility requirements.

  • Performs Small group to large group releases, and creates rosters for potential sales in small group.

  • Must live within 1 hour commute of location listed.

Qualifications

Requirements:

  • Requires a high school diploma

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

REQNUMBER: PS49044

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