Anthem, Inc. Process Expert II in Melville, New York
SHIFT: Day Job
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.
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.
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.