Process Improvement Consultant - Military Veterans

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Description SHIFT: Day JobSCHEDULE: Full-timeBe part of an extraordinary team! We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving high-performance culture that empowers you to make an impact?nu00a0nJob Description:u00a0nResponsible for generating process improvements that bring about measurable improvement in quality and/or efficiency. Contributes to achieve department's objectives by serving as key contact for researching and implementing solutions and tools for new systems and other key operational improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues.u00a0nnPrimary duties may include, but are not limited to:u00a0nu2022u00a0u00a0 u00a0Represents the department on process improvement teams, special projects and implementation of new technology. Lead role in coordinating annual review/revision of procedures.u00a0nu2022u00a0u00a0 u00a0Leads the training of associates when new processes or procedures are implemented.u00a0nu2022u00a0u00a0 u00a0Communicates process information and facilitates workgroups to ensure accurate and consistent workload reporting.u00a0nu2022u00a0u00a0 u00a0Review /analyze monthly workload reports to ensure goals are on-target (timeliness, backlog) across all operational sites.u00a0nu2022u00a0u00a0 u00a0Identify areas of concern & implement corrective plans if necessary. Uses reports and production statistics to represent unit(s) in departmental process improvement and system changes and provides specialized input on reports to management.u00a0nQualifications Minimum Requirements:u00a0nu2022u00a0u00a0 u00a0Requires a BA/BS in a related field and minimum of 5 years related experience; or any combination of education and experience, which would provide an equivalent background.u00a0nnPreferred Qualifications:u00a0nu2022u00a0u00a0 u00a0RN, Certified Project Manager or Certified Professional Coder preferred; AAPC, CPC or CCS-P certification a plus.nu2022u00a0u00a0 u00a0Previous experience as a Trainer in a Utilization Management department.nu2022u00a0u00a0 u00a0Previous experience in high-volume operations (Medical Review, Appeals, Claims, Customer Service) strongly preferred.u00a0nu2022u00a0u00a0 u00a0Demonstrate ability to analyze existing and potential workflows, processes, supporting systems, and procedures and identifying improvements strongly preferred.u00a0nu2022u00a0u00a0 u00a0Excellent oral, written and interpersonal communication skills, strong analytical, organizational, planning, problem solving and project/decision facilitation skills strongly preferred.u00a0nu2022u00a0u00a0 u00a0Experience with Medicare and/or Medicaid Managed Care and NCQA Accreditation standardsnu2022u00a0u00a0 u00a0Proven ability to train in a virtual environmentnu00a0nWe 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.nThe health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide u2013 and Anthem approves u2013 a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.n**MEMBERS ONLY**SIGN UP NOW***. has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 Worldu2019s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.antheminc.com. Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact **** for assistance.nu00a0

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