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Nurse Reviewer Assoc or Nurse Reviewer I

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Medical
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PS27155 Requisition #
Thanks for your interest in the Nurse Reviewer Assoc or Nurse Reviewer I position. Unfortunately this position has been closed but you can search our 1,002 open jobs by clicking here.

The Nurse Reviewer Associate requires:

  • AS/BS in nursing; 1 year of experience; or any combination of education and experience, which would provide an equivalent background.

  • Current unrestricted license in applicable state(s) required.

  • Familiarity with managed health care programs including HMO, PPO, and POS and with ICD-9 and CPT 4 coding preferred.

 

The Nurse Reviewer l requires:

  • AS/BS in nursing; 3 years of clinical nursing experience in an ambulatory or hospital setting; or any combination of education and experience, which would provide an equivalent background.

  • Current unrestricted RN license in applicable state(s) required.

  • Requires familiarity with Utilization Management Guidelines, ICD-9 and CPT-4 coding, and managed health care including HMO, PO and POS plans.

  • Previous utilization and/or quality management and/or call center experience preferred.

 
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

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Program Overview

Our Actuarial Internship Program allows students to gain valuable experience in the actuarial field, as well as in a dynamic health care environment. Through actuarial careers with Anthem, Inc., you will have the opportunity to help drive the future of health care, by finding ways to make health care more affordable and more valuable to the public.

Highlights

  • Interns are assigned a mentor who will serve as an informal guide
  • Students present their projects to senior leadership in person and through live video conferencing
  • Students will gain experience working on a variety of real actuarial projects alongside actuaries of varying experience
  • Daily interaction with mentors and final evaluations provide two-way feedback and opportunities to discuss future employment interests

Qualifications

Successful candidates typically possess:

  • Current enrollment in an accredited college or university and planned continued enrollment after internship period
  • High GPA (or a combination of experience and GPA)
  • Participation in an actuarial science, math, or statistics program
  • Commitment to an actuarial career (participation in an actuarial club, math associations, attendance at actuarial conferences, etc.)
  • Adaptability
  • Rapid learning ability
  • Effective teamwork and written/verbal communication skills

Exams

It is not required that you have passed an exam to participate as an actuarial intern; however, we like to know that you plan on taking one during the current/upcoming school year.

Timeline and On-campus Events

  • Fall (Sept/Oct) – look for information sessions and on-campus interviews through your career center. If you do not see your campus listed, please apply to the job through our careers site by typing “Actuarial Intern” in the keyword search field

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