, Texas

Description

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: Can be Remote:  IN, MD, FL, TX, CA

We are seeking a highly motivated Accreditation Manager with experience in survey preparation of NCQA accreditation in managed care setting. The Accreditation Manager will be responsible for accreditation activities necessary for attaining / maintaining NCQA health plan accreditation.

Primary duties may include, but are not limited to:

  • Manages the overall NCQA survey processes and identification of resources required to successfully lead the plan through NCQA accreditation.
  • Evaluates, interprets and understands NCQA accreditation guideline requirements and manages the process for accreditation activities.
  • Conducts the ongoing evaluation and interpretation of quality improvement and accreditation standards to ensure compliance through documentation, including reporting and measurement studies/ methodologies.
  • Facilitates project management and develops comprehensive accreditation work plans by establishing deliverables, accountabilities, and timelines.
  • Performs quantitative and qualitative analysis of quality related data and reports activities and works collaboratively with internal clients to ensure barrier analysis and improvement opportunities are identified.
  • Interfaces collaboratively with internal clients in the identification and implementation of appropriate interventions to meet NCQA compliance.
  • Serves as expert resource to quality committees and business owners across the organization.
  • Leads and provides oversight of Core NCQA team accreditation projects.

Qualifications

What You Contribute:

Requires BA/BS in a health care field, and 3-5 yrs healthcare-related experience in addition to 3+ years experience in a QA/QI related position, project management, and strong quantitative, qualitative and analytical skills or any combination of education and experience, which would provide an equivalent background.

  • Successful NCQA/URAC accreditation process completion and continuous process improvement experience in an NCQA/URAC setting highly preferred. 
  • NCQA accreditation survey preparation in managed care setting experience required.
  • Experience in Medicaid line of business preferred.
  • Must be able to work independently.
  • Experience in NCQA Long-Term Services and Supports (LTSS) Distinction for Health Plans
  • Clinical background, e.g. RN or LVN strongly preferred.

 

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. 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.  Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

, Texas

As one of America’s largest health benefits companies, we at Anthem have a profound appreciation for service. Our organization proudly supports our Nation’s active, reserve, and veteran military service members and their spouses.

This is an exciting opportunity to advance your life and career, while still protecting and serving others. Come see for yourself why Anthem is recognized as a Top Employer by GI Jobs and among the “Best of the Best: Top Veteran Friendly Companies” by US Veterans Magazine.

Who We Are Looking For 

Anthem, Inc. is seeking military veterans across the country who bring a deeply rooted skillset that includes team-oriented approaches to problem-solving, demonstrations of leadership and an overall commitment to the mission of the organization.  If you are a military veteran or military veteran spouse, Anthem, Inc. is looking to hire you.

Join Anthem's Military and Veteran Talent Network: https://anthemcareers.ttcportals.com/pages/military

Should I Apply?

Are you a transitioning member of the military or a military veteran who is looking for a civilian career that provides opportunities for growth and career advancement?  Anthem, Inc. is currently looking for job seekers with  Operations experience.  If you are interested in a career in one of these fields, check out our current open positions to the right for more information and to apply today!

What Happens After I Apply?

Once you click ‘Apply Now’ on an Anthem, Inc. job posting, you will be re-directed to fill out an application on Anthem's career page.  In order to be considered for next steps, please complete the application on Anthem's career page and make sure you have an updated resume uploaded to your RecruitMilitary profile.  Once Anthem, Inc. reviews your resume and profile, a recruiter will reach out to provide you with more information and to schedule you for an interview.

How to Win An Interview

1.     Review the job description for the specific position you are applying for.

2.     Review the company website. Know their mission and values. What do they do? What are their products?

3.     Prepare a few questions to ask on your interview.

4.     Prepare to discuss your military or civilian background and how it relates to the position. 

5.     Check out our Resources tab for resume guidance, interview prep and more!