Network Data Specialist Lead

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 care companies and a Fortune Top 50 Company.

Acts as lead and oversees the activities of the provider database staff.

Primary duties may include, but are not limited to:
Oversees daily activities and provides feedback to manager on performance management, day-to-day training, guidance, and workflow within a state.

Oversees all aspects of provider load/audit, troubleshooting, and all aspects of the provider table.

Serves as a liaison between all functional areas to resolve provider enrollment issues and ensure uniform and consistent data and data flow.

Manages prioritizations and escalated issues to resolve provider database errors.

Facilitates and attends meetings as a market SME for production management, business partners and projects/implementations.

Creates, reviews, and revises desk level procedures for APDO production processes.

Reviews and researches claims issues and provider set up, nonworkable submissions and question logs to provide production support.

Qualifications

Requires a BA/BS degree in related field; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

5-7 years provider data and project management experience.

We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.

Anthem, Inc.

has been named as a Fortune 100 Best Companies to Work For® , is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes.

To learn more about our company and apply, please visit us at careers.antheminc.com.

An Equal Opportunity Employer/Disability/Veteran.

Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem.

Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem.

Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.

EEO is the Law
EqualOpportunityEmployer/Disablity/Veteran

Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.

Anthem, Inc.

is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs.

If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance.

*WARNING: Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies.

Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company.

If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the ‘Rip-offs and Imposter Scams’ option.

Anthem requires a completed online application for consideration of employment for any position.

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