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Clinical Quality Program Specialist - HEDIS

Location: NV
JobFamily: Quality
Req #: PS66682
Date Posted: May 23, 2022

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SHIFT: Day Job

SCHEDULE: Full-time

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 care companies and a Fortune Top 50 Company.

***Location: West Region - Remote work at home - PST work hours)***

Responsible for supporting projects and assisting the quality improvement activities and programs for and/or on behalf of the Health Plan.

Primary duties may include, but are not limited to:

  • Build and maintain project plan and schedule for projects that support the quality strategy, contributes to ensuring project deliverables are met, assist in documentation and project status tracing.
  • Ensure integration of quality into the overall business process.
  • Monitor activities to ensure project objectives are met within established time frames and budgets.
  • Assist with compliance of corporate Quality Improvement (QI) work plans. Supports Clinical Quality Program with maintaining effective documentation to meet regulatory and Accreditation Standards.
  • Conduct accurate and complete quantitative analysis of clinical data and presentation of results.
  • Additional responsibilities will include scheduling, conducting and attending meetings, supporting management in overall objectives, assessing costs and savings.


Requires 2 years of healthcare quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background.

Preferred Qualifications

B.S. or M.S. in health administration, nursing or a related clinical field or current unrestricted license or certification in applicable field preferred (i.e. CPHQ)

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.

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

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 Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact [email protected] for assistance.

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.