24 Sep
Director, Clinical Quality - Any Anthem Office
Florida, Bradenton 00000 Bradenton USA

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 care companies and a Fortune Top 50 Company.We are hiring for a Director of Clinical Quality. This position will be responsible for working with the Staff Vice President to direct the clinical quality initiatives including; medical record pursuit, provider outreach, phone center operations, and other duties as assigned. This position will be remote to begin with and will eventually report to any Anthem office.Primary responsibilities may include, but are not limited to: HEDIS Medical Record Pursuit activities, call center operations, working with both internal and external customers to promote an understanding of HEDIS activities and objectives within the company and to prioritize departmental projects according to Anthem corporate, regional, and departmental goals. Maintains expert knowledge of current industry standards, quality improvement activities, and strong medical record management skills. Assures the training and continuing education of staff regarding standards and guidelines, including NCQA and HEDIS. Hires, trains, coaches, counsels, and evaluates the performance of direct reports. Qualifications Requirements: Requires BA/BS in a clinical or health care field (i.e. nursing, epidemiology, health sciences) and 5 years progressively responsible management experience in a health care environment or any combination of education and experience, which would provide an equivalent background. MS or advanced degree in a health care related field (i.e. nursing, health education) or business strongly preferred. Previous experience working with NCQA and HEDIS preferred. Previous HEDIS Medical Record Pursuit operations strongly preferred. Previous phone center operations preferred. 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: PS38983

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