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Manager II GBD Quality Management- Plan HEDIS/Health Promotions Atlanta, GA PS11700

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Medical
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PS11700 Requisition #
Thanks for your interest in the Manager II GBD Quality Management- Plan HEDIS/Health Promotions Atlanta, GA PS11700 position. Unfortunately this position has been closed but you can search our 775 open jobs by clicking here.
• Requires a BA/BS in a health or business related field; 7 years of experience in a healthcare environment, including prior management experience; or any combination of education and experience, which would provide an equivalent background. 
• 5+ years leadership/management strongly preferred.
• Requires HEDIS knowledge and experience. 5+ years HEDIS experience preferred.
• Must have excellent communication skills (written and verbal), interpersonal skills, project management and organizational skills.
• Requires exceptional networking & negotiations skills, and strong public speaking/presentation skill, and previous consumer marketing and/or grassroots/community outreach experience
• Proficient MS Word, Excel, Outlook, and PowerPoint.

Preferred:
• RN or LPN 
• Certified Professional Coder (CPC), Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)
• Lean Six Sigma Training (Green Belt or Black Belt)
• Certified Professional in Healthcare Quality (CPHQ)
• Population health management and/or clinical quality program development experience preferred.
• Experience working with HEDIS, EPSDT, medical record audit or review.
• HEDIS project management experience
• Experience with Quality Improvement and Corrective Action plans.
• Experience working in a health insurance company or Medicaid, Managed Care setting.
• Experience with Inovalon software - QSHR 
• Strong strategic thinking and analytical skills; excellent organizational, presentation, and problem solving skills.        
• Candidate must be task and project-oriented with an excellent sense of priority, logic and objectivity. 
• Seeks out opportunities for process improvements/efficiencies, and supports business initiatives.

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

Become the ultimate consumer advocate. Share your expertise and help maximize the value of the tools and resources we provide.

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.

Customer care associates at Anthem:

  • Take ownership and resolve issues with care and concern
  • Act as an advocate for consumers by providing support and guidance of their anticipated needs, personal options and decisions
  • Show initiative and resourcefulness in solving problems and meeting consumer needs
  • Develop relationships with other business units and service partners whose assistance, cooperation and support may be needed
  • Demonstrate empathy, exceptional written and verbal communication skills, and the ability to properly tailor assistance to a consumer's level of experience and knowledge

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