Anthem Inc. Jobs

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Anthem, Inc. Process Expert II - Claims in Miami, Florida

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At HealthSun, a proud member of the Anthem, Inc. family of companies, 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.

The health and safety of Anthem associates and the various stakeholders we service is a top priority for our business every day. Anthem’s workplace of the future will be both physical and virtual with the number of sites optimized to promote access to diverse, top talent.

Location: 9250 W. Flagler Street, Miami, FL 33174

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

Qualifications

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.

  • Medicare claims processing experience strongly preferred.

  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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: PS49047

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