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Job Family: Reporting & Data Analysis
Req #: PS39179
Date Posted: Sep 16, 2020
DescriptionSHIFT: Day Job
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.
Bus Info Developer Cons Sr (PS39179)
be within reasonable driving distance of an Anthem office.
The Bus Info Developer Cons Sr is a part of the dynamic Anthem Enterprise Data Science team, and will be focused on convert advanced AI-based insights into next-generation payment, coding, and clinical edits. He/she ensures accurate adjudication of claims, by translating medical policies, reimbursement policies, and clinical editing policies into effective and accurate reimbursement criteria. Serves as subject matter expert regarding reimbursement policies, edits, and coding conventions. He/she must possess good communication and writing skills, and attention to detail is a must.
Primary duties may include, but are not limited to:
Requires a BS/BA degree; 5 years experience; or any combination of education and experience, which 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.
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.