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Process Improvement Consultant - Medicare (PS33759)Location: Mason, Ohio, United StatesNewRequisition #: PS33759Your 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.Process Improvement ConsultantAvailable Work Locations –OPEN TO ANY ANTHEM OFFICE (PREFERRED LOCATIONS - Virginia Beach, VA -Mason, OH - Las Vegas, NV)The Medicare & Group Retiree Solutions Member & Provider
Experience organization strives to deliver a simple, caring, one-touch, and
digitally enabled experience where our constituents view Anthem as their
advocate. In a time of significant change in the industry and at Anthem,
consider your qualifications for joining this high-performing team as we chart
an exciting course to navigate growth in our Medicare and Group Retiree
Solutions business!The Process Improvement Consultant is:· Responsible for generating process
improvements that bring about measurable improvement in quality and/or
efficiency.· Contributes to achieve department's
objectives by serving as key contact for researching and implementing solutions
and tools for new systems and other key operational improvements, provide
guidance to leads, operations experts, associates, and/or managers on process
improvement issues. Primary duties may include, but are not limited to:o Represents the department on process
improvement teams, special projects and implementation of new technology.o Lead role in coordinating annual
review/revision of procedures.o Leads the training of associates when
new processes or procedures are implemented.o Communicates process information and
facilitates workgroups to ensure accurate and consistent workload reporting.o Review /analyze monthly workload
reports to ensure goals are on-target (timeliness, backlog) across all
operational sites.o Identify areas of concern &
implement corrective plans if necessary.o Uses reports and production
statistics to represent unit(s) in departmental process improvement and system
changes and provides specialized input on reports to management.o 5Years- Medicare knowledge and expertise preferred.o 5Years – Medicare Stars Program specific focus on CTM.o Strong
data analysis and process improvements specific to CTM and CTM Root Cause
Analysis is preferred.Requires a BA/BS degree in a related
field, 5-8 years of related experience; or any combination of education and
experience, which would provide an equivalent background. Medicare
Operations, STARS/CAHPS, and CTM experience strongly preferred. Previous
experience in high-volume operations (Medical Review, Appeals, Claims, Customer
Service) required. Demonstrate ability to analyze existing and potential
workflows, processes, supporting systems, and procedures and identifying
improvements required. Excellent oral, written and interpersonal communication
skills required. Strong analytical, organizational, planning, problem solving
and project/decision facilitation skills required. Ability to travel maybe
required.Anthem,Inc. is ranked as one of America’s Most Admired Companies among health insurersby Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company forDiversity. To learn more about our company and apply, please visit us atcareers.antheminc.com. An Equal OpportunityEmployer/Disability/Veteran.
Vacancy expired!