Process Improvement Consultant - Medicare (PS33759)

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.