, New Jersey

Description

SHIFT: Day Job

SCHEDULE: Full-time

 

Your Talent. Our Vision. At  Anthem, Inc. f 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.

Credentialing Specialist  processes credentialing and re-credentialing files in accordance with Company and departmental policies and procedures and in compliance with state and federal laws and regulations and accrediting organization standards. T

Qualifications 

  • Requires a high school diploma or GED
  •  1-3 years  of credentialing experience in a health care environment


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.


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.

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.

Qualifications

 

Primary duties may include, but are not limited to:

  • Assures the confidentiality and integrity of all aspects of the credentialing program and process including communication of information regarding participating providers to Medical Directors, Credentials Committee and other internal departments,
  • Database management, provider relations and contracting. May be utilized within the Credentialing Database Operations unit or the Credentialing Policy Committee unit to support the company's entire credentialing process.:
  • Receives provider applications and contacts providers for any additional supporting documentation or clarification.
  • Builds file documentation and prepares file for credentialing committee review.
  • Applies general guidelines in determining whether provider meets criteria and documents deficiencies.
  • Prepares correspondence to providers regarding status.
  • Assists in researching pended and probated applications and resolving discrepancies.
  • Refers non-approved providers or questionable situations to senior representative.
  • May assist in provider education and preparation of provider training materials.

Requirements

  • Requires a high school diploma or GED
  •  1-3 years  of credentialing experience in a health care environment

, New Jersey

If you are active-duty military, reserve, or a military veteran, we foster a welcoming environment that’s dedicated to honoring your service and helping you achieve your career goals. Veterans of Anthem — one of our Business Resource Groups — partners with our Talent Acquisition teams to maximize career offerings for you and your family members, striving to help you transition to civilian service and grow your career at the same time. 

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

WE ARE HIRING

Anthem, Inc. is currently seeking military veterans and military spouses for a variety of open roles.  Our immediate needs include Support Technical Engineer, Lead Engineer, Developer, Systems Analyst, Network Data Specialist, and Provider Network Manager roles.  Whether you are looking to transition into an IT career or if you have experience under your belt in the Technology field, Anthem wants to have an impact on your career and professional growth by speaking with you about their career opportunities.

If you are interested in learning more, check out Anthem's current open positions to the right for more information and to apply today!

Not sure where to start?  Send RecruitMilitary Success Manager, Taylor Groves, your questions at taylor.groves@recruitmilitary.com 

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