SHIFT: Day Job
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.
Responsible for ensuring that appropriate member treatment plans are followed on moderately complex cases and for proactively identifying ways to improve the health of our members and meet quality goals.
Primary duties may include, but are not limited to:
Coordinates follow-up care plan needs for members by scheduling appointments or enrolling members in programs.
Assesses member compliance with medical treatment plans via telephone or through on-site visits.
Identifies barriers to plan compliance and coordinates resolutions.
Identifies opportunities that impact quality goals and recommends process improvements.
Recommends treatment plan modifications and determines need for additional services, in conjunction with case management and provider.
Coordinates identification of and referral to local, state or federally funded programs.
Coaches members on ways to reduce health risks.
Prepares reports to document case and compliance updates.
Establishes and maintains relationships with agencies identified in appropriate contract.
Serves as preceptor for new associates and participates in or leads projects with cross-functional teams.
High school diploma
Minimum of 3 years related experience
Or any combination of education and experience which would provide an equivalent background
The department you are applying for is open seven(7) days a week (365). We work all holidays. The position you are applying for will be scheduled to work Wednesday through Sunday 12:00 to 9:00 PM.
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.
Dunkin’ Donuts is hiring part-time and full-time Crew Members!Dunkin’ Crew Members serve delicious food and beverages in a fast-paced, challenging...Apply For This Job
Job Description Who We Are At DAS Acquisition (USA Mortgage), our mission is the relenting pursuit of perfection. We pride...Apply For This Job
Insurance Customer Service job details: location:Memphis, TN salary:$35,360 per year date posted:Thursday, August 19, 2021 experience:Experienced job type:Permanent industry:Insurance agent/broker...Apply For This Job
Columbia Records is looking for an Administrative Assistant to support senior members of the A&R team. The ideal candidate has...Apply For This Job
Available for the following locations: Remote | Nashville, TN | Louisville, KY Hello, We’re TechnologyAdvice. At TechnologyAdvice, we are dedicated...Apply For This Job
***IMMEDIATE OPENINGS FOR TOOL PRODUCTION!***EXPERIENCE: Craftwork/model making experience preferred, sandblasting and painting experience preferredEDUCATION: N/A LANGUAGE: N/ADRIVERS LICENSE: N/AREQUIREMENTS:Craftwork/model making...Apply For This Job