Anthem Inc. Indianapolis Jobs

Job Information

Anthem, Inc. Mgr I Care Mgmt in Indianapolis, Indiana

Description

SHIFT: Day Job

SCHEDULE: Full-time

This position is office-based and will be located in our Anthem office in Richmond, VA.

The Manager I Care Mgmt is responsible for managing a team of clinicians charged with promoting quality member outcomes, to optimize member benefits, and to promote effective use of resources.

Primary duties may include, but are not limited to:

  • Assesses the medical necessity of inpatient admissions, outpatient services, out of network services, and appropriateness of treatment setting and level of care.

  • Oversees process improvement, quality assurance, and adherence to applicable medical policy, care management best practices, relevant clinical standards, and member contract.

  • Ensures prevention and health management program accreditation standards are achieved.

  • Participates in establishing strategic plans and objectives; aligning, developing, and implementing functional area policies and procedures to support strategic plans and objectives.

  • Participates in establishing and managing the annual budget productivity targets. Hires, trains, coaches, counsels, and evaluates performance of direct reports.

Qualifications

Minimum Qualifications

  • Requires a BS in Nursing; 5 years of acute care clinical experience; or any combination of education and experience, which would provide an equivalent background.

  • Current unrestricted RN license in VA required.

  • Experience managing direct reports preferred.

  • Minimal travel may be required.

Preferred Qualifcations:

  • Requires strong oral, written, and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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.

REQNUMBER: PS60984-Indianapolis-Indianapolis

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