/Your Talent. Our Vision./At Anthem, Inc.,it's a powerful combination, and the foundation upon which we're creating greater care for our members, greater value for our customers, and greater health for our communities. Join us and together we willdrive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve atone of America's leading health benefits companies and a Fortune Top 50 Company.
TheCredentialing Specialist Sr.ensures the integrity of credentialing data and provides expertise and guidance to other credentialing associates.
Primary duties may include, but are not limited to:
Audits work of other credentialing associates.
Compiles and reviews documentation required by credentialing committee.
Responds to the most complex provider credentialing, compliance and accreditation issues.
Researches pended and probated applications and resolves discrepancies.
Monitors reports identifying practitioners on sanctions or those who do not meet credentialing criteria for further action and assists in researching related issues.
May assist in delegation oversight and identifies on-going training needs.
Assists in developing training materials.
Requires a H.S. diploma; 4-5 years credentialing experience; or any combination of education and experience, which would provide an equivalent background.
CPCS or CMSC preferred.
East Coast location preferred.
/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./
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Equal Employment Opportunity Statement
Anthem, Inc. will recruit, hire, train and promote persons in all job titles without regard to age, color, disability, gender (including gender identity), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or other status protected by applicable law. In addition, all personnel actions such as compensation, promotion, demotion, benefits, transfers, staff reductions, terminations, reinstatement and rehire, company-sponsored training, education and tuition assistance, and social and recreational programs will be administered in accordance with the principles of equal employment opportunity.
Title: Credentialing Specialist Sr. - US - 134980
Requisition ID: 134980
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