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Director Clinical Programs - PS19620

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Medical
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PS19620 Requisition #
Thanks for your interest in the Director Clinical Programs - PS19620 position. Unfortunately this position has been closed but you can search our 1,360 open jobs by clicking here.
  • Requires a BS in nursing or a physician’s assistant credential.
  • 6 years of experience in a health care environment, health education program planning or social service including 2 years of managed care experience.
  • 2 years of management experience.
  • 2 years of experience directing, implementing, and managing large projects.
  • Any combination of education and experience, which would provide an equivalent background.
  • Nurse or physician assistant experience required.
  • Experience in public speaking at conferences and other public venues required.
  • Certified coding specialist (CCS); certified documentation improvement practitioner (CDIP) preferred.
  • Knowledge of auditing, a working knowledge of CPT/HCPCS and ICD 9 and ICD 10 preferred.
  • Working Knowledge of DRG Validation preferred.
  • Medical claims review with prior health care audit experience preferred. 
  • Previous experience in HIM and/or provider audit or Clinical Documentation Improvement preferred.
  • Dietetic certification and course completion/certification in America's Health Insurance Plans Executive Program or similar program preferred.
  • MS in public health, health education, public policy, health administration or a related field required.
  • PhD in public health, health education, public policy, health administration or a related field 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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Customer care associates focus on becoming the ultimate consumer advocate. Share your expertise and help maximize the value of the tools and resources we provide. We're improving the consumer experience. Join us as we create a simpler, more affordable, more accessible healthcare system.

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