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Anthem, Inc. Benefits Analyst I or II- (job family) FACETS in Reno, 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 business needs and translates the needs into application requirements in support of operations, productions and projects.

Primary duties may include, but are not limited to:

Identifies best approach to code/develop benefits to achieve optimum adjudication levels

Maintains avoidance to negative financial, regulatory, and operational impact

Performs testing and quality assurance of products developed

Research and analysis of business requirements, small product enhancements and product projects

Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality

Researches and responds to inquiries from various departments

Must be able to perform all duties of lower level positions as directed by management

Ability to participate on project teams and add significant and measurable technical input to the projects

Qualifications

  • Requires a High School diploma or GED

  • Benefits Analyst I: 2 years of experience in healthcare industry, previous medical health care or analytical experience

  • Benefits Analyst II: 3 years of experience in healthcare industry, previous medical health care or analytical experience

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

  • BA/BS degree preferred

  • Experience with Medicare/Medicaid plans is a plus

  • 1-2 years’ experience in the following is preferred: Facets applications, Access Database, Relational Databases, SQL and Excel

  • Knowledge in the following is a plus: Claims Processing, Product and Benefits configuration

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

Level will be determined by skills and experience of selected candidate

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: PS38759

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