Process Expert II - PS37829

Description SHIFT: Day JobSCHEDULE: 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.The Process

Expert II position will support the IngenioRx Pharmacy Operations daily

eligibility process, which includes monitoring and resolving member, group and

file level inquiries. Participate in project and process work impacting

pharmacy eligibility to ensure accurate requirements and testing prior to

implementation. . Primary duties may include, but are not limited to:

Researches operations

workflow problems and system irregularities; develops tests, presents process

improvement solutions for new systems, new accounts and other operational

improvements.

Assists

with the development and leading of project plans and communicating project

status.

Serves as a subject matter

expert for internal pharmacy projects, health plan initiated projects and new

client implementations.

This position

may work from any Anthem location. Qualifications

Requires a BA/BS degree;

5-7 years’ experience in business analysis, process improvement, project

coordination in a high-volume managed care operation (claims, customer service,

enrollment and billing) with the ability to analyze workflows, processes,

supporting systems and procedures and identifying improvements; or any

combination of education and experience, which would provide an equivalent

background.

Knowledge of and/or

experience with enrollment and billing is highly desired.

Previous pharmacy experience

is a plus.

Anthem, Inc. is ranked as one of America’s Most Admired

Companies among health insurers by Fortune magazine and has been named a 2019 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.REQNUMBER: PS37829