Anthem Jobs – Apply Now for External Performance Audit Coordinator Careers Portland, ME

Anthem Jobs – External Performance Audit Coordinator Jobs Employment in Portland, Maine, USA. Anthem Job Search. Get Government Jobs Alert in USA. Current Anthem USA Jobs. Coming Soon Federal Government Jobs for Anthem Careers Employment Website.

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Anthem Jobs – Apply Now for External Performance Audit Coordinator Careers Portland, Maine

Best Jobs in Anthem:- Anthem Careers site has published Anthem Jobs notification for External Performance Audit Coordinator Position. Candidates who have B.A. or B.S. degree can apply online through Anthem Recruitment site. The location of this External Performance Audit Coordinator Position is Maine.

Anthem Jobs description related to this External Performance Audit Coordinator Position like Job request number, Job Location, Educational background, required age, Salary and benefits provided in details below. You should check all details before apply.

Anthem Jobs Summary According to Anthem Careers Site

Recruiting Agency :- Anthem

Name of Profile :- External Performance Audit Coordinator

Job Location :- Maine

Salary :- $58180.00 – 130420.00 per year

Job Description

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.

  • Responsible for conducting and coordinating external and internal quality performance audits which are administered based on mandatory guidelines published by the BCBSA.
  • Primary duties may include, but are not limited to:
    • Leads projects related to the coordination of performance audit reviews with agencies external to Anthem.
    • Reviews, evaluates and verifies the quality of claims adjudication, enrollment processing and customer service transactions.
    • Renders non-biased and ethical decisions while assuring BCBSA guidelines are adhered to the fullest extent.
    • Performs in-house training as needed.
    • Compiles and reports audit results to internal corporate management, executive management, Operations areas, Sales and Marketing, Interprocess Quality Assurance coordinators and other outside groups as required.
    • Validates sampling methodology and contents of data reports.

Qualifications

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 B.A. or B.S. degree; 3 years auditing experience, or any combination of education and experience, which would provide an equivalent background.
  • Must demonstrate knowledge of regulations related to specialized functions.

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.


Anthem Jobs – Apply Now for EAP Consultant I Careers Bellevue, Washington State

Best Jobs in Anthem:- Anthem Careers site has published Anthem Jobs notification for EAP Consultant I Position. Candidates who have MS/MA, Graduate, MSW degree can apply online through Anthem Recruitment site. The location of this EAP Consultant I Position is Washington State.

Anthem Jobs description related to this EAP Consultant I Position like Job request number, Job Location, Educational background, required age, Salary and benefits provided in details below. You should check all details before apply.

Anthem Jobs Summary According to Anthem Careers Site

Recruiting Agency :- Anthem

Name of Profile :- EAP Consultant I(Degreed)

Job Location :- Washington State

Salary :- $66,659.00 per year

Full Job Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision.  At Beacon Care Services, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination.  It’s 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.

Beacon Care Services is a part of Beacon Health Options, a leading behavioral healthcare company. We provide compassionate mental health care in convenient and familiar community locations where people live, work, and shop. Our licensed clinicians provide counseling and other behavioral health care services directly to consumers where and how they need it. At Beacon, our mission is to help people live their lives to their fullest potential.

 

Bellevue, WA office.

 

Available Schedules:  Tuesday through Friday 1:30 pm – 10:00 pm, and Saturday.   Additional shifts may be offered based on business needs. Schedules can vary depending on call center and business needs. 

The EAP Consultant I is responsible for providing assistance, services, resources, referrals, and consultation on various Employee Assistance Programs and work/life issues.

Primary duties may include, but are not limited to:

  • Conducts comprehensive assessments of user’s need for core EAP and work/life services, such as childcare, parenting, eldercare, education, general research, short-term problem resolution, legal, financial, employment assistance, emotional well-being, relationships and communication, addiction disorders, health and wellness, work issues and other specialty and add-on services.
  • Deescalates callers, navigates resources, resolves complex concerns, assesses, and takes action in crisis situations.
  • Identifies high-risk cases and responds as indicated under the direction of management.
  • Documents cases into the system.
  • Performs follow up calls and reporting as necessary.
  • Monitors research, referrals, and additional materials sent to users/customers.
  • May work on special projects based on business needs.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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.

Qualifications

Qualifications – External

  • Requires MSW degree in Social Work or MS/MA in other human services field.
  • Requires 3 years of related, graduate (clinical) work experience, preferably in an Employee Assistance Program setting; or any combination of education and experience, which would provide an equivalent background.
  • Strongly preferred is a current, active, and unrestricted LCSW, LPC, LMFT, LMHC, or LMSW license, from the state of WA.
  • Requires excellent telephonic communication skills.
  • The ability to multi-task, along with a strong technical ability in web-based and Microsoft applications, is required.
  • U.S. Citizenship:
    • Contract requires U.S. Citizenship

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.

Apply Now


Anthem Jobs – Apply Now for Pharmacy Tech Careers Indianapolis, IN

Best Jobs in Anthem:- Anthem Careers site has published Anthem Jobs notification for Pharmacy Tech Position. Candidates who have high school diploma or equivalent work experience can apply online through Anthem Recruitment site. The location of this Pharmacy Tech Position is Indiana.

Anthem Jobs description related to this Pharmacy Tech Position like Job request number, Job Location, Educational background, required age, Salary and benefits provided in details below. You should check all details before apply.

Anthem Jobs Summary According to Anthem Careers Site

Recruiting Agency :- Anthem

Name of Profile :- Pharmacy Tech

Job Location :- Indiana

Salary :- USD $ 15.60 Per Hour

Full Job Description

The Pharmacy Tech II is responsible for educating members on medication as related to prescriptions; advising members of available resources and assistance programs; interpreting moderately complex prescriptions.  Primary duties may include, but are not limited to:
  • Enters and validates information on member prescriptions and reviews member prescriptions in claims system
  • Place outbound and receive inbound calls to consult and educate members on Medication Therapy Awareness
  • Compile and document accurate outreach to members
The Pharmacy Technician employs intellectual, interpersonal and technical skills through the utilization of the pharmacy process to assist members in achieving and maintaining maximum health potential.

Qualifications

  • Requires a high school diploma.
  • Minimum 2 years of pharmacy experience; or any combination of education and experience, which would provide an equivalent background.
  • Current, unrestricted state Pharmacy Technician License and National Certification issued by PTCB strongly preferred.
  • Good computer and written, oral and interpersonal communications skills required.
  • Prior call center experience strongly preferred.
  • Bilingual (English/Spanish) strongly preferred.

Apply Now

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