JP00043220

Elevance Health is a health company dedicated to improving lives and communities – and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading.

We are looking for contract workers (via BCforward) 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?

These positions are responsible for providing non-clinical support to the Medical Management and/or Operations areas.

Primary duties may include, but are not limited to:

• Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).
• Provides information regarding network providers or general program information when requested.
• May assist with complex cases.
• May act as liaison between Medical Management and/or Operations and internal departments.
• Maintains and updates tracking databases.
• Prepares reports and documents all actions.
• Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.

Requirements:

• Requires a high school diploma; 1 year of experience with an understanding of managed care or Medicaid/Medicare; or any combination of education and experience, which would provide an equivalent background.
• Typing skills
• Basic Knowledge of Microsoft programs
• Data entry
• Strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
• Proficient in MS Office products, in particular Excel.
• Previous knowledge or experience with health insurance operations.
• Ability to multi-task and have multiple screens and windows open at one time.
• Good customer service skills with individuals across teams in the organization and outside parties.

Schedule:

Candidate must work Tuesday to Saturday, preferably 7:30am-4:30pm EST but willing to be flexible for the right person: open to 8am-5pm EST or 8:30am-5:30pm EST.

Additional Details:

• The position is hybrid, you may need to come into the Tampa bay area for training or any other issues.
• Typing min of 75 WPM.
• Experience with Medical Records a must.
• Detail oriented in a high performance and production environment.

An Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against on the basis of disability.

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