Vacancy caducado!
Description SHIFT: Day JobSCHEDULE: Full-timePosition
can be filled in any Anthem location This position will have oversight of a team of approximately 25
associates that complete the validation and claim adjustments for overpaid
claims on the WGS claim platformsPrimary duties may include, but are not limited to:
Maintains high production standards.
Anticipates change and emerging customer and associate needs.
Monitors inventory and trends and develops inventory
reduction plans as needed.
Anticipates problems and opportunities within the units
managed and determines resolutions.
Acts as a mentor for others.
Creates and develops partnerships with other departments
including Sales, Underwriting, Healthcare Management, Claims, Customer Service,
Third Party Recovery and Membership.
Hires, trains, coaches, counsels, and evaluates performance
of direct reports.
Qualifications Requires 5-6 years experience with operations, financial
reporting and analysis, audit guidelines, budgeting and multi-state operations
and processes; experience with complex business environments including multiple
entity and highly automated situations; 3 years management experience; or any
combination of education and experience which would provide an equivalent
background. Knowledge of Blue Card InterPlan process preferred. Knowledge
of Program Integrity programs and WGS preferred. AnEqualOpportunityEmployer/Disability/VeteranREQNUMBER: PS36009-New%20York%20City-New%20York%20City