, Maryland

Description

SHIFT: Day Job

SCHEDULE: Full-time

Responsibilities:

Ensures the integrity of credentialing data and provides expertise and guidance to other credentialing associates. 

Primary duties may include, but are not limited to: 

  • Audits work of other credentialing associates. 
  • Conduct oversight of daily approval credentialing process.
  • Compiles and reviews documentation required by credentialing committee. 
  • Responds to the most complex provider credentialing, compliance and accreditation issues. 
  • Assist in daily inventory management and escalations.
  • Researches pended and probated applications and resolves discrepancies. 
  • Monitors reports identifying practitioners on sanctions or those who do not meet credentialing criteria for further action and assists in researching related issues. 
  • May assist in delegation oversight and identifies on-going training needs. Assists in developing training materials. 

Qualifications

Requirements:

  • Requires a H.S. diploma; 4-5 years credentialing experience; or any combination of education and experience, which would provide an equivalent background. 
  • CPCS or CMSC preferred.
  • Knowledge of Cactus preferred.

, Maryland

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!

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