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Operations Expert - Mason, OH ...


Job Summary

Mason, OH
Other/Not Classified
Job Type
Full Time
Career Level
Experienced (Non-Manager)
Job Reference Code

Operations Expert - Mason, OH (PS2753)

About the Job


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.

Operations Expert I - Mason, OH

Responsible for providing technical direction, guidance and resources to claims, customer service, membership, or other operations associates on a day-to-day basis.

Primary duties may include, but are not limited to:

  • Serves as a first line resource for operation associates for workflow and technical related processes;
  • provides operational training; assists associates by answering day-to-day technical questions;
  • encourages a teamwork environment;
  • monitors inventory to ensure workflow remains uninterrupted; handles complex case research and resolution;
  • reviews, interprets and maintains records of service level, quality, accuracy, and productivity;
  • reviews department policy and procedure manuals for accuracy;
  • works with training department to ensure procedures and policies are accurate and complete.

  • Requires HS diploma or equivalent;
  • 5 years of related office experience
  • 3 years of experience and expertise with company relevant automated processing systems;
  • 3 years of Medicare operations experience
  • 3 years of CTM and grievance or appeals experience
  • 1+ years of project implementation experience
  • or any combination of education and experience, which would provide an equivalent background.
  • Proficiency with office computer programs such as MS Outlook, MS Word, MS Excel
  • Previous leadership experience 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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