Description SHIFT: Day Job SCHEDULE: Full-time Be part of an extraordinary team We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you act and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact? Government Business Division Operations Analyst REMOTE “At this time, Anthem will not sponsor a new applicant for employment authorization for this position.” Build the Possibilities. Make an extraordinary impact. Responsible for researching, analyzing, documenting, and coordinating the resolution of escalated and/or complex claims issues for the GBD local business that span across multiple operational areas and requires expert knowledge of all systems, tools, and processes. How you will make an impact: + Provide project team leadership and/or act as an operational expert/trainer within functional team. + May create, own, or update team desktop procedures and process documentation. + Research complex or multi-functional claims issues and identify root causes involving configuration, claims and/or contracting activities. + May engage directly with external customers, such as providers, by providing claims expertise and research outcomes. Qualifications Minimum Requirements: + Requires a BA/BS degree and a minimum of 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience which would provide an equivalent background. Preferred Skills, Capabilities, and Experiences: + Facets experinence stronly preferred + Claims processing and claims appeals/rework experience preferred. 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. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance. REQNUMBER: PS69866-Georgia
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