Anthem, Inc. Enrollment Data Analyst III in Maitland, Florida
SHIFT: Day Job
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 care companies and a Fortune Top 50 Company.
Location: FL Residency Requirement
Hours: M-F 8am-5pm
Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the flexibility to 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.
The Enrollment Data Analyst III is responsible for daily business operations, including overseeing the automated daily and monthly enrollment file updates, member reconciliation process for assigned markets and resolution of complex enrollment issues.
Primary duties may include, but are not limited to:
Provides process oversight of daily business operations to Enrollment Analysts as it relates to resolution enrollment processes of assigned markets.
Serves as Subject Matter Expert for Enrollment Operations in assigned market(s).
Monitors market-specific Service Level Agreements (SLAs) per contractual requirements, escalating issues to management as needed.
Interfaces with state agencies, Health Plans, and various internal departments as needed to investigate and resolve complex enrollment issues.
Participates in market meetings and audits as needed to provide market specific details regarding enrollment load and reconciliation processing.
Requires an AA/AS in Information Systems, Health Care Management or Business or related field and minimum of 3 years of experience in analytical role including a minimum of 1 year as enrollment analyst; or any combination of education and experience which would provide an equivalent background.
Call Center/Customer Service experience required
Bilingual Spanish or Creole preferred
Experienced in MS Excel
Introductory experience in SQL 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.