Anthem Clinical Program Consultant - Remote - PS16671 in San Jose, California

Clinical Program Consultant - Remote - PS16671

Location: United States

Field: Medical

Requisition #: PS16671

Post Date: Jan 10, 2019

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.

The Clinical Program Consultant is responsible for providing clinical program and project support in a Medical Management department.

Primary duties may include, but are not limited to:

  • Develops and implements clinical programs for the management of members with specific medical conditions.

  • Serves as a project manager for medical management initiatives, such as medical review redesign, development of policies and procedures, development and implementation of training procedures and manuals, and the development and implementation of metrics and other reporting capabilities.

  • Interfaces with Medical Directors.

  • Serves as a clinical point of contact/liaison with clients.

  • Partners with case/disease management departments to facilitate clinical processes between the company and client.

  • Represents the department on enterprise-wide and regional committees and program initiatives.

  • This position may require some travel 10% of the time with overnight stays.

  • Requires a BS in nursing or related medical management area; 5 years of project/program management experience; or any combination of education and experience, which 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 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at AnEqualOpportunityEmployer/Disability/Veteran