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Anthem, Inc. Benefits Analyst II- FACETS in Las Vegas, Nevada

Description

SHIFT: Day Job

SCHEDULE: Full-time

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 will allow remote within the US or any Ingenio location preferred: (Atlanta, GA / Chicago, IL / Las Vegas, NV / Louisville, KY / Mason, OH / Minnetonka, MN / Morristown, NY / St. Louis, MO / Virginia Beach, VA / Wallingford, CT)

Responsible for identifying complex business needs and translates the needs and translates the needs to application software requirements in support of operations, production and projects.

Primary duties may include, but are not limited to:

Designs and builds benefit standard and non-standard benefit plans, analyzes business rules to identify best approach to code/develop benefits in the benefit configuration database to achieve optimum claims adjudication levels

Performs testing and quality assurance of new product developed to avoid negative financial, regulatory, and operational impact

Resolve system configuration defects based on knowledge and analysis of system functionality in conjunction to the benefit plans

Researches and responds to complex inquiries from various departments

May consult, mentor peers to attain department goals

Must be able to perform all duties as directed by management

Qualifications

  • Requires a High School diploma or GED

  • BA/BS degree preferred

  • 1-2 years’ experience in the following is preferred: Facets application, Access Database, Microsoft Excel and Microsoft Word

  • 3-5 years benefit coding experience preferred; or any combination of education and experience that would provide an equivalent background

  • 3 years’ experience in claims processing, previous medical health care or analytical experience

  • Experience with Medicare/Medicaid is a plus

  • Knowledge in the following is a plus: Claims Processing, Product & Benefits Setup

  • Good analytical skills, attention to detail, and the ability to be a problem solver

  • Good communication skills both written and verbal

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.

REQNUMBER: PS38778

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