Anthem Program Manager HEDIS PS8524 in Norfolk, Virginia

Program Manager HEDIS PS8524

Location: United States

Field: Business Support

Requisition #: PS8524

Post Date: Jul 06, 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.

HEDIS Program Manager

Responsible for the development and ongoing management of one or more multi-year client facing programs within a business unit regarding HEDIS. Program managers typically support business strategies through an integrated portfolio of projects or initiatives. A program manager may have responsibility for a piece of a larger enterprise/regional client facing program.

Primary duties may include, but are not limited to:

Manages and coordinates the development, approval implementation and compliance with interdepartmental teams and vendor, the implementation of HEDIS to ensure that we meet all specification requirements for HEDIS reporting; ensures program meets its stated objectives; provides subject matter expertise in response to day to day business issues and assists in researching and resolving issues.

Researches applicable subject matter practices and remains aware of industry trends and HEDIS requirements.

Manages relationships with vendors and HEDIS business units to identify data and process improvements to ensure improved collection of HEIDS data.

Interacts with external auditor and ensures we meet all audit requirements for HEDIS medical record review.

Coordinates training related to program; develops program success measures and performs periodic assessments of program success.

Coordinates the analysis of HEDIS results including Medicare, and identifies opportunities for improvement.

Requires a BA/BS degree; 5-7 years of managed care experience in program/project management; or any combination of education and experience, which would provide an equivalent background.

HEDIS experience required.

Knowledge of Medicare specific measures a plus.

Knowledge of HEDIS software a plus.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran