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Manager Performance Audit - Vi...

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Job Summary

Company
Anthem
Location
Virginia Beach, VA
Industries
Other/Not Classified
Job Type
Full Time
Employee
Career Level
Experienced (Non-Manager)
Job Reference Code
4298_139734

Manager Performance Audit - Virginia Beach, VA or St. Louis, MO office -139734VMJ

About the Job

Description
Your 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.

Manager Performance Audit - Virginia Beach, VA or St. Louis, MO - 139734VMJ


The selected candidate must work from either the Virginia Beach, VA or St. Louis, MO office.

Primary duties will include, but are not limited to:

  • Directs and ensures that audit scope and audit areas follow applicable guidelines for sampling, auditing and reporting performance. Implements applicable audit and reporting guidelines.
  • Leads performance repairing program.
  • May direct and monitor performance guarantee implementation, processes, reporting and performance improvement.
  • Establishes and coordinates compliance plan activities within the Business Unit.
  • Hires, trains, coaches, counsels, and evaluates performance of associates.
  • Work with the Clinical auditing team to understand end-end process, hand-offs, and potential gaps and opportunities across teams.


Qualifications

  • Requires B.A. or B.S. degree;
  • 5 years of performance audit experience in a related area in the healthcare industry; or any combination of education and experience which would provide an equivalent background.
  • 2 years exp in Prior Authorizations or Pharmacy is required.
  • Internal, public audit, quality assurance, and project management experience preferred.
  • Leadership experience either with direct reports or in a matrix environment with indirect reports is required.
  • Any applicable certifications preferred.
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.

 

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