Benefits Analyst II- WGS/FACETS (PS38750)
Vacancy expired!
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 benefits companies and a Fortune Top 50 Company.This position will allow remote within the US or any Ingenio location preferred: (Atlanta, GA / Chicago, IL / Las Vegas, NV / Louisville, KY / Mason, OH / Minnetonka, MN / Morristown, NY / St. Louis, MO / Virginia Beach, VA / Wallingford, CT) Responsible for identifying 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 standard and non-standard benefit plans, reviews and analyze benefit summaries
Identifies best approach to code/develop benefits to achieve optimum adjudication levels
Maintains avoidance to negative financial, regulatory, and operational impact
Performs testing and quality assurance of products developed
Research and analysis of business requirements, small product enhancements and product projects
Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality
Researches and responds to inquiries from various departments
Must be able to perform all duties of lower level positions as directed by management
Ability to participate on project teams and add significant and measurable technical input to the projects
Qualifications
Requires
a High School diploma or GED
3
years’ experience in claims processing, previous medical health care or
analytical experience
3-5
years benefit coding experience preferred
Or
any combination of education and experience that would provide an equivalent
background
BA/BS
degree preferred
Experience with Medicaid/Medicare required
1-2
years’ experience in the following is preferred: Facets and or WGS
applications, Access Database, Sybase Tables and Excel
Knowledge
in the following is a plus: Claims Processing, Product & Benefits Setup
Good
analytical skills, attention to detail, and the ability to be a problem solver
Good
communication skills both written and verbal
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.REQNUMBER: PS38750
Vacancy expired!