Anthem Inc. Virginia Jobs

Job Information

Anthem, Inc. Director II Claims - CareMore (Remote) in Reston, Virginia

Description

SHIFT: Day Job

SCHEDULE: Full-time

Location: Remote, but must be willing to accomodate west coast (PST) hours as needed.

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 take action 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?

Build the possibilities. Make an extraordinary impact:

Responsible for directing claims processing, claims adjustments, provider disputes. Oversight includes the processing of all claim types for health plan clients.

How you will make an impact:

  • Provides guidance on the most complex claims.

  • Develops short/long-term objectives and continually monitors procedures to ensure these are met by staff.

  • Stays abreast of state/federal regulations.

  • Staff is typically located in multiple sites and/or states and utilizes multiple systems.

  • Position requires significant and regular external contact with customers or agencies.

  • Has significant budget accountability and manages special projects.

  • Management duties to include hiring, training, coaching, counseling and evaluating performance of direct reports.

Qualifications

Minimum Requirements:

  • Requires BA/BS

  • Minimum of 9 + years of professional/leadership experience or any combination of education and experience which would provide an equivalent background.

Preferred Skills, Capabilities and Experiences:

  • MA/MBA preferred.

  • Excellent analytical ability, written, oral and interpersonal communication skills, negotiation skills, PC skills, advanced strategic planning, organizational, managerial and leadership skills strongly preferred.

  • Medicare knowledge strongly 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 ability@icareerhelp.com for assistance.

    REQNUMBER: PS72083-US

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