Vacancy expired!
NGS Subject Matter Expert Lead-PS21368Location: United StatesNewField: Education & TrainingRequisition #: PS21368Your Talent. Our Vision. At National Government Services (NGS) , an independent subsidiary of Anthem, Inc. and one of the largest Medicare contractors in the country,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 .This is an exceptional opportunity to do innovative work that means more to you and those we serve.The NGS Subject Matter Expert (SME) Lead will be responsible for providing guidance and consultation to Claims operations,as well as Subject Matter Expertise for a variety ofMedicare claims operational functions, business systems and innovation solutions. Primary duties may include, but are not limited to:
Provides complex, in-depth knowledge and expertise and serves as coach and mentor to NGS Claims team leads.
Provides leadership in problem solving and decision making relative to complex issues and questions in the development of Robotic Processing Automation (RPA) as well as content products and solutions.
Researches, reviews, analyzes and interprets Medicare policy Claims Operations
Analyzes needs and gaps, identifies solutions and best practices and provides consultation on Claims operations.
Collaborates with other departments to identify efficiencies and best practices
Reviews and provides feedback on CMS change requests and technical direction to ensure accuracy in assessing financial impact and completeness in our responses
Reviews feedback and evaluates internal and external audits and implementation of improvements.
Assists leadership team with project planning and implementation.
Leads and provides oversight on projects and initiatives involving multiple associates.
Looks for viable opportunities for improvement to share with CMS via a white paper or concept of operations
Understands Medicare specific processes, technologies and key drivers of performance in order to integrate them into products and solutions.
Partners with Business Systems Operations to identify and implement automated system process solutions
It is preferred that this position work for the Indianapolis, IN or Harrisburg, PA offices. May work from any NGS Anthem office.
Prefer BA/BS degree in business, 5-7 years of Operations experience; or any combination of education and experience, which would provide an equivalent background.
Experience in Medicare or Claims Operations.
Project management or process improvement or business analyst experience is a plus
Proficient in MS Excel.
Experience with Centers for Medicare & Medicaid Services (CMS) is desired.
The applicant and incumbent in this position fall under a 'sensitive position' work designation and may be subject to additional requirements beyond those associates outside Government Business Divisions. Requirements include but are not limited to more stringent and frequent background checks and/or government clearances, segregation of duties principles, role specific training, monitoring of daily job functions, and sensitive data handling instructions. Associates in these jobs must follow the specific policies, procedures, guidelines, etc. as stated by the Government Business Division in which they are employed.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.
Vacancy expired!