Vacancy expired!
Description SHIFT: Day Job
SCHEDULE: Full-timeYour 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 care companies and a Fortune Top 50 Company. Location: Candidates must live within commutable distance to our Las Vegas NV or Woodland Hills, CA office Due to the current COVID-19 (coronavirus) pandemic, this position will require you to work remotely from your home with the flexibility to return to a regular, in-office work environment. As we continue to monitor guidance from CDC and state officials there may be times you would need to report to the office on a monthly or quarterly basis for team meetings or engagement activities. The Enrollment Data Analyst III is responsible for daily business operations, including overseeing the automated daily and monthly enrollment file updates, member reconciliation process for assigned markets and resolution of complex enrollment issues. Primary duties may include, but are not limited to:- Provides process oversight of daily business operations to Enrollment Analysts as it relates to resolution enrollment processes of assigned markets.
- Serves as Subject Matter Expert for Enrollment Operations in assigned market(s).
- Monitors market-specific Service Level Agreements (SLAs) per contractual requirements, escalating issues to management as needed.
- Interfaces with state agencies, Health Plans, and various internal departments as needed to investigate and resolve complex enrollment issues. Participates in market meetings and audits as needed to provide market specific details regarding enrollment load and reconciliation processing.
- Requires an AA/AS in Information Systems, Health Care Management or Business or related field; 3+ years of experience in analytical role, including 1+ years as enrollment analyst; or any combination of education and experience, which would provide an equivalent background.
- Experience with WGS highly desired
Vacancy expired!