Program Manager - HEDIS - Remote (PS27957)

Program Manager - HEDIS - Remote (PS27957)Location: United StatesNewRequisition #: PS27957Your 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 healthcare .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.Program Manager – HEDIS - Remote opportunity (PS27957)Responsible for the development and ongoing management of one or more

multi-year external client facing programs within a business unit regarding

HEDIS. Program managers typically

support business strategies through an integrated portfolio of projects or

initiatives. A program manager may have responsibility for a piece of a larger

enterprise/regional external client facing program.Primary duties may include, but are not limited to:· Manages

and coordinates the development, approval implementation and compliance with

interdepartmental teams and vendor, the implementation of HEDIS to ensure that

we meet all specification requirements for HEDIS reporting; ensures program

meets its stated objectives; provides subject matter expertise in response to

day to day business issues and assists in researching and resolving issues.· Researches

applicable subject matter practices and remains aware of industry trends and

HEDIS requirements.· Manages

relationships with vendors and HEDIS business units to identify data and

process improvements to ensure improved collection of HEDIS data.· Interacts

with external auditor and ensures we meet all audit requirements for HEDIS medical

record review.· Coordinates

training related to program; develops program success measures and performs

periodic assessments of program success.· Coordinates

the analysis of HEDIS results including Medicare, and identifies opportunities

for improvement.AdditionalExperience:Ø HEDIS experience

required.Ø Knowledge of Medicare

specific measures a plus.Ø Knowledge of HEDIS

software a plus.Requires a BA/BS degree; 5-7 years of external client facing

experience in program/project management; or any combination of education and

experience, which would provide an equivalent background. Graduate degree

preferred. Project management certification preferred.Anthem, Inc. is ranked as one ofAmerica’s Most Admired Companies among health insurers by Fortune magazine andis a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn moreabout our company and apply, please visit us at careers.antheminc.com. An Equal OpportunityEmployer/Disability/Veteran.