Anthem Process Expert II - Pharmacy (any Anthem location) - PS9475 in Coral Gables, Florida

Process Expert II - Pharmacy (any Anthem location) - PS9475

New

Location: United States

Field: Business Support

Requisition #: PS9475

Post Date: Jul 10, 2018

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.

Process Expert II - Pharmacy (any Anthem location) - PS9475

The 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.

  • Requires a BA/BS degree;

  • 5-7 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing) with the ability to analyze workflows, processes, supporting systems and procedures and identifying improvements; or any combination of education and experience, which would provide an equivalent background.

  • This position will work with our Pharmacy Benefit Manager (PBM) and internal stakeholders, focused on encounter processing for Medicaid, MMP, DSNP and CCC+; resolving errors, analyzing data, managing issues and improving processes.

  • Experience working with pharmacy claims, Excel, SQL Server, and Teradata is preferred.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.