Anthem Inc. Medical Jobs

Job Information

Anthem, Inc. Mgr II Claims in Long Beach, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

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

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

Mgr II Claims

This is a remote postion in the PST region

Mgr II Claims is responsible for providing oversight of claims staff.

Primary duties may include, but are not limited to:

  • Establishes departmental policies and procedures.

  • Audits/monitors efficiency and compliance with policies.

  • Prepares specialized reports.

  • Serves as subject matter expert for other areas of the company as well as within the department.

  • Provides policyholder relationship management.

  • Manages operational risk.

  • May be accountable for deliverables of a third party or vendor.

  • Manages multiple functions requiring unique sets of knowledge or has significant fiscal accountability over and above routine people/equipment costs.

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

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.

Qualifications

Minimum Qualifications:

  • Requires BA/BS, a minimum of 3 years management experience and a minimum of 2 years claims experience; or any combination of education and experience which would provide an equivalent background.

Preferred Qualifications:

  • Medicare experience is strongly preferred.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. 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: PS58959-2335

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