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Posted: Monday, September 4, 2017 10:47 AM

/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.Provides quality, accessible and comprehensive services to the Anthem provider community. Provides assistance regarding education, contract questions and non-routine claim issues. Primary duties may include, but are not limited to: * Coordinates communications process on such issues as administrative and medical policy, reimbursement and provider utilization patterns. * Develops, maintains, and enhances relations with providers to foster cooperative business relationships. * Coordinates prompt claims resolution through direct contact with providers and claims department. * Provides assistance with policy interpretation. * Researches, analyzes and recommends resolution for provider disputes as well as issues with billing and other practices. * Identifies and reports on provider utilization patterns which have a direct impact on the quality of service delivery. * Tracks customer service patterns/trends and identifies training when appropriate. * Drafts training documents and conduct provider refresher training at onsite provider locations or by telephone. * Researches issues that may impact future provider negotiations or jeopardize network retention. Requirements: * High school, GED, or equivalent required; * Strong communication skills, both written and verbal * Ability to work within a team oriented environment * Minimum 1-3 years of customer service experience or any combination of education and experience, which would provide an equivalent background. * Microsoft Office (Word, Outlook, Excel) experience required /Anthem, Inc. is ranked as one of America?s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran./ **Job** *Provider Network Management* **Title:** *Network Management Representative - Rancho Cordova, CA - 133564* **Location:** *texas-Sweetwater* **Requisition ID:** *133564* Company Description:We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best. As our companies continue to take a more active role in helping people access the right health care and programs, going by a name that people know and trust is important.Anthem, Inc. is one of the nation's leading health benefits insurer and a Fortune Top 50 company. At Anthem, Inc., we are working to transform health care with trusted and caring solutions and meaningfully advance affordability and better health outcomes for our health plan members. Nearly 69 million people are served by our affiliated companies including more than 37 million enrolled in our family of health plans. One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.We offer a broad range of medical and specialty products.Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to help drive the future of health care.Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our co

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• Location: Abilene, Sweetwater

• Post ID: 15891292 abilene
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