Anthem Benefits Analyst III-Remote-PS10281 in Norfolk, Virginia

Benefits Analyst III-Remote-PS10281

Location: United States

Field: Business Support

Requisition #: PS10281

Post Date: Aug 09, 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.

Benefits Analyst III-Remote

Responsible for identifying complex business needs and translates the needs into application software requirements in

support of operations, productions, and projects.

Primary duties may include, but are not limited to:

  • Designs and builds new complex non-standard benefit plans

  • Reviews and analyzes benefit summaries

  • Identifies best approach to code/develop benefits to achieve optimum adjudication level

  • Maintains avoidance to negative financial, regulatory, and operational impact

  • Performs testing and quality assurance of new product developed

  • Researches and analyzes RFP proposals and product projects

  • Creates and maintains issue log on appropriate tool

  • Resolves defects based on knowledge and analysis of system functionality

  • Researches and responds to complex inquiries from various departments

  • May consult with and mentor less experienced team members

  • Serves as trainer for standard and highly customized benefit configuration

  • Represents department in production related meetings including product development, design, and implementation

  • Must be able to perform all duties of lower level positions as directed by management

An Equal Opportunity Employer/Disability/Veteran

Benefits Analyst III requires:

  • BA/BS degree in a related field

  • 3-5 years experience in claims processing, previous medical health care, analytical experience, or project management


  • 3-5 + years of benefit coding experience very strongly preferred

  • Prior experience building benefit plans, pricing benefits, or building documents preferred

  • FACETS, Amisys, and/or WGS experience strongly preferred

  • Medical coding certification or medical billing certification strongly preferred.

  • or any combination of education and experience that would provide an equivalent background

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and

is a 2016 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit