Benefits Analyst III-Remote within 50 miles of multiple locations-PS11

Anthem

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.

Benefits Analyst III-Remote within 50 miles commuting distance to Indianapolis-IN, Richmond-VA, Virginia Beach/Norfolk-VA, Midland-GA, Denver-CO, Mason-OH, Tampa-FL, Fond du Lac-WI, South Portland-ME

Responsible for identifying complex business needs and translates the needs into application software requirements in

support of operations, productions, and projects.

Primary duties may include, but are not limited to:

  • Designs and builds new complex non-standard benefit plans

  • Reviews and analyzes benefit summaries

  • Identifies best approach to code/develop benefits to achieve optimum adjudication level

  • Maintains avoidance to negative financial, regulatory, and operational impact

  • Performs testing and quality assurance of new product developed

  • Researches and analyzes RFP proposals and product projects

  • Creates and maintains issue log on appropriate tool

  • Resolves defects based on knowledge and analysis of system functionality

  • Researches and responds to complex inquiries from various departments

  • May consult with and mentor less experienced team members

  • Serves as trainer for standard and highly customized benefit configuration

  • Represents department in production related meetings including product development, design, and implementation

  • M onitors the performance of network systems in order to identify any issues and routinely performs analysis on system tools and interfaces

  • Works with the IT team to determine the appropriate system and/or architecture solution for the current problem as well as mitigate future issues.

  • Works with IT team to implement necessary upgrades, patches or troubleshooting to solve problems and document the changes by following all change management procedures.

  • Proactively communicate upcoming infrastructure changes to management, and work with the workforce to smooth transitions and decrease any negative impact on business

  • identify opportunities to use emerging technology to increase efficiency and flexibility. They may formulate improvement plans and pitch them to leadership.

  • Must be able to perform all duties of lower level positions as directed by management

Benefits Analyst III requires:

  • Flexible and reliable worker, with the ability to prioritize multiple tasks
    • BA/BS degree in a related field
    • 3-5 years experience in claims processing, previous medical health care, analytical experience, or project management experience
    • Preferred - certified business analyst and/or certified coder, Six Sigma experience
    • 3-5 + years of benefit coding experience very strongly preferred
    • Prior experience building benefit plans, pricing benefits, or building documents preferred
    • FACETS experience strongly preferred
    • or any combination of education and experience that would provide an equivalent background

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com.
An Equal Opportunity Employer/Disability/Veteran.

Company Description:

We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best. As our companies continue to take a more active role in helping people access the right health care and programs, going by a name that people know and trust is important.
Anthem, Inc. is one of the nation's leading health benefits insurer and a Fortune Top 50 company. At Anthem, Inc., we are working to transform health care with trusted and caring solutions and meaningfully advance affordability and better health outcomes for our health plan members. Nearly 69 million people are served by our affiliated companies including more than 37 million enrolled in our family of health plans.

  • One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
  • We offer a broad range of medical and specialty products. Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to help drive the future of health care.
    Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our co
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