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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 1,049 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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IT

Our comprehensive IT internship program is designed to provide unique, first-hand perspectives on IT careers with Anthem, Inc.

Highlights

By leveraging information technology, program participants can help Anthem, Inc.:

Create innovative programs and products designed to help improve the health and quality of life of our members

Interface with our providers and vendors to generate improved health care information that will benefit the lives of those we serve

Participate in various IT areas such as:

  • Cyber Security
  • Software & Mobile Development
  • UX/UI
  • Infrastructure
  • Quality Assurance
  • 24/7 Database Center
  • Desktop Support
  • Portfolio, Project, & Program Management
  • Strategy & Planning

Project work during the internship program will involve utilizing a variety of technology resources that may include:

  • Java, SQL, DB2, Business Objects, Teradata, .NET, C++, Mainframe, Service-oriented architecture, Oracle, SQL Server, Weblogic and/or IBM Web Sphere

Qualifications

Successful candidates typically possess:

  • A major in Management Information Systems, Information Technology, Computer Science/Engineering. Both undergraduate and graduate level applicants are encouraged to apply

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