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Anthem, Inc. Benefits Analyst II- FACETS in West Des Moines, Iowa

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 benefits companies and a Fortune Top 50 Company.

This position will allow remote within the US or any Ingenio location preferred: (Atlanta, GA / Chicago, IL / Las Vegas, NV / Louisville, KY / Mason, OH / Minnetonka, MN / Morristown, NY / St. Louis, MO / Virginia Beach, VA / Wallingford, CT)

Responsible for identifying business needs and translates the needs into application software requirements in support of operations, productions and projects

Primary duties may include, but are not limited to:

  • Designs and builds new standard and non-standard benefit plans, reviews and analyze benefit summaries

  • Identifies best approach to code/develop benefits to achieve optimum adjudication levels

  • Maintains avoidance to negative financial, regulatory, and operational impact

  • Performs testing and quality assurance of products developed

  • Research and analysis of business requirements, small product enhancements and product projects

  • Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality

  • Researches and responds to inquiries from various departments

  • Must be able to perform all duties of lower level positions as directed by management

  • Ability to participate on project teams and add significant and measurable technical input to the projects

Qualifications

  • Requires a High School diploma or GED

  • 3 years’ experience in claims processing, provider services, previous medical health care or analytical experience

  • Experience with documentation review and/or business requirements a plus (ability to pull systems requirements)

  • Experience with Agile/Waterfall a plus

  • 3-5 years benefit coding experience preferred

  • Or any combination of education and experience that would provide an equivalent background

  • BA/BS degree preferred

  • Experience with Medicaid/Medicare a plus

  • 1-2 years’ experience in the following is preferred: Facets, Access Database and Excel

  • Knowledge in the following is a plus: Claims Processing, Product & Benefits Setup

  • Good analytical skills, attention to detail, and the ability to be a problem solver

  • Good communication skills both written and verbal

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

REQNUMBER: PS38758

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