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Medical
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PS24764 Requisition #
Thanks for your interest in the Manager I, Healthcare Management Services - North Carolina (within 90 min drive of Cary) Remote PS24764 position. Unfortunately this position has been closed but you can search our 1,045 open jobs by clicking here.
  • North Carolina residency is required.
  • Requires a BA/BS with a Healthcare concentration; MSN, MPH, MPA, MSW or MBA preferred.  
  • Current active unrestricted RN, LCSW, LPC, LMHC, LSW, LMFT, PA or other accepted license (as allowed by applicable state laws), and any other state or federal requirements that may apply, is required. 
  • 3+ years of acute care clinical experience, or any combination of education and experience, which would provide an equivalent background, is required.
  • 5+ years of Healthcare Management experience is required.  
  • Case Management experience is required (telephonic preferred).
  • Utilization Management experience is required.
  • Behavioral Health experience is preferred.
  • Knowledge of Medicaid and/or Managed care is preferred.
  • Certified Case Manager Certification is preferred.
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. 
  • High level of proficiency MS Office (Word, Outlook, Excel) is required.
  • Knowledge of Maccess, Facets, Care Compass a plus.

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 please visit us at antheminc.com/careers.
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Health Care Analytics

The Health Care Analytics (HCA) team focuses on transforming the way data is used within the health care industry. They provide strategic analysis that impacts business decisions, improves efficiency and drives innovation.

As we expand our technology and analytics capabilities, we are searching for associates that have a passion for analytics and the drive to pave the way in a growing industry.

Career opportunities are available in the following areas:

  • Strategy and planning: Ensures strategic alignment between HCA projects and the organization's broader goals. Also integrates analytics strategy into the execution process, including program management, project controls, communications and vendor oversight.
  • Operations: This department houses the HCA shared-services functions including project financial controls and estimations, demand management, user acceptance testing, and coordination and release management.
  • Customer management analytics: Provides accurate, timely and reliable delivery of client reports, which include data analyses, insights and other information that demonstrates Anthem’s value as a business partner.
  • Financial management analytics: Works closely with HCA leaders and other Anthem management to provide support to the finance and accounting teams through financial reporting systems.
  • Member management analytics: This team is responsible for the risk adjustment program and analytics, the member management program, predictive analytics and member management analytic products management.
  • Provider management analytics: Manages Anthem’s unit cost trend, provider contract modeling, network profiling, payment innovation analytic solutions, and other analytics that enable provider collaboration strategies.
  • Research, development and transformational analytics: Works with senior leaders to manage implementations, new product development and provides acquisition support.

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