Anthem, Inc. After Care Coordinator in Reston, Virginia
SHIFT: Day Job
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 care companies and a Fortune Top 50 Company.
AFTER CARE COORDINATOR
Location: Woburn, Massachusetts
Responsible for assisting with non-clinical duties for all phases of follow up after inpatient services. Primary duties may include, but are not limited to:
Follows up on members who are identified by clinical operations as needing aftercare follow up. Verifies compliance with initial follow-up appointments.
Provides assistance with referral to a provider if initial appointment is not attended.
Assists members in coordinating outpatient follow-up.
Checks provider availability.
Documents results of follow up calls in system.
Completes non-clinical assessment tools relating to after care or HEDIS activities.
Calls members and providers and gathers discharge and other non-clinical information from providers/facilities as scripts and workflow allow.
Develops and completes reports for completion of outstanding after care activities as needed internally and as requested by clients.
Assists and provides non-clinical activities related to HEDIS expectations as determined by quality management leadership.
Assists quality management staff with non-clinical work tasks as needed.
The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to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.
Requires a high school diploma or GED;
Experience in customer service and/or related field; or any combination of education and experience, which would provide an equivalent background.
Experience with office software such as Word, Excel, and PowerPoint preferred.
BA/BS in health related field 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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.