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Location: , VA
Job Family: Medical
Req #: PS50233-Virginia
Date Posted: Jun 24, 2021
DescriptionSHIFT: Day Job
The Nurse Appeals is responsible for investigating and processing and medical necessity appeals requests from members and providers.
Primary duties may include, but are not limited to:
Please Note -The work schedule for this position is Tuesday thru Saturday with Sunday rotation, business hours are 8 am to 8 pm EST, and the selected candidate must be able to work an 8 hour shift between those hours, including holidays on a rotational basis.
Training is Monday thru Friday, for approximately 3 – 4 months, once independent with expedited case reviews will transition to hired work schedule which includes Saturday as a regular work day, with Sunday & holiday rotation.
Qualifications - External
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.
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.