/ 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.
TheLHO Business Operations Analystposition is responsible for managing day to day operational activities including:
Monitoring/facilitating the flow of claims from LiveHealth Online (LHO) through the Electronic Data Interchange (EDI) clearinghouse to the back end claim systems
Ensuring provider data systems include all LHO providers for appropriate handling
Collecting and analyzing data from enrollments and claims for LHO to ensure proper reporting and issue identification/resolution
Reviewing enrollments, service issues, system concerns, and claim reports to identify issues for resolution.
Manage provider profile data system submissions, provider pricing, and provider issue resolution.
Utilize data received from multiple systems to identify any discrepancies that may lead to claim, provider, or customer issues and their subsequent resolution.
Provide training to internal and vendor partners as needed.
Associates degree and 2-4 years claims, call center, database operational experience; or any combination of education and experience which would provide an equivalent background.
Associates degree preferred
Anthem experience with claims and customer experience preferred
/ / / Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2016 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: LHO Business Operations Analyst-Remote (134203)
Requisition ID: 134203
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