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Location Calhoun City, MS USA
PostedDecember 9, 2018

Job Details

Process Expert II (Any Anthem location)- PS15300
Process Expert II (Any Anthem location)- PS15300


**Location:** **United States**

**Field:** Business Support

**Requisition #:** PS15300

**Post Date:** 4 hours 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.

The **Process Expert II** will support a single operations department by participating in project and process work.

**Primary duties may include, but are not limited to** :

+ Researches operations workflow problems and system irregularities

+ Develops tests, presents process improvement solutions for new systems, new accounts and other operational improvements

+ Develops and leads project plans and communicates project status.

+ Experience with Medicare/Medicaid.

+ Experience with Medicare Part C & D

+ Grievance/Appeals experience.

+ Knowledge of Medicare/Medicaid communication requirements.

+ Requires a BA/BS degree; 5-7 years experience in business analysis, process improvement, project coordination in a high-volume managed care operation (claims, customer service, enrollment and billing) with the ability to analyze workflows, processes, supporting systems and procedures and identifying improvements; or any combination of education and experience, which would provide an equivalent background.

+ Must have strong writing skills.

**_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._**

Job #NLX132347509