Mgr Performance Audit-In Office Las Vegas NV Or Mason OH Preferred-Ps26023

Anthem, Inc. Mason , OH 45040

Posted 3 months ago

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.

Manager Performance Audit-In office, Las Vegas NV, Mason OH, Atlanta GA, Chicago IL, Louisville KY, Minneapolis MN, Morristown NJ, St Louis MO, Virginia Beach VA, or Wallingford CT

  • Directs and ensures that audit scope and audit areas follow applicable guidelines for sampling, auditing and reporting performance.

  • Implements applicable audit and reporting guidelines.

  • Leads performance repairing program.

  • May direct and monitor performance guarantee implementation, processes, reporting and performance improvement.

  • Establishes and coordinates compliance plan activities within the Business Unit.

  • Hires, trains, coaches, counsels, and evaluates performance of associates.

Requires:

  • B.A. or B.S. degree

  • Minimum of 5 years experience in related area

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

  • Internal, public audit, quality assurance and project management experience preferred.

  • Pharmacy member service experience required.

  • Auditing background required.

  • Proficiency is MS Office Suite required.

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 careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.


icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Process Expert I Mason OH Virginia Beach VA Las Vegas NV Or St Louis MO Ps29848

Anthem, Inc.

Posted 7 days ago

VIEW JOBS 11/6/2019 12:00:00 AM 2020-02-04T00:00 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. This position can be located in one of the following locations in the Anthem office: Mason OH, Virginia Beach VA, Las Vegas NV, or St. Louis MO. The Process Expert assists in identifying and researching workflow problems and system irregularities. Primary duties may include, but are not limited to: * Monitors reports/has oversight of Intake Site. * Reviews adjustment requests submitted to Intake site for accuracy and clarifies requests with the submitter as appropriate. * Receives guidance and mentoring from more experienced process experts. * Researches operations workflow problems and system irregularities; assists with the development and testing of process improvement solutions for new systems, new accounts and other operational improvements; assists with the development and leading of project plans and communicating project status. * BA/BS degree highly preferred. * 3 years related experience (business analysis, process improvement, project coordination), experience in high-volume managed care operations (claims, customer service, enrollment and billing); or any combination of education and experience, which would provide an equivalent background. * Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. * Pharmacy prior authorization experience preferred. * Ability to work various shifts required. 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 careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem, Inc. Mason OH

Mgr Performance Audit-In Office Las Vegas NV Or Mason OH Preferred-Ps26023

Anthem, Inc.