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Nurse Reviewer Associate or Nurse Reviewer I

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Medical
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PS27114 Requisition #
Thanks for your interest in the Nurse Reviewer Associate or Nurse Reviewer I position. Unfortunately this position has been closed but you can search our 1,049 open jobs by clicking here.

Nurse Reviewer I & Nurse Reviewer Associate SHARED qualifications:

  • Registered Nurse with a current, valid unrestricted license in the State of California
  • Candidates must have good computer skills and solid typing speed and accuracy
  • Knowledge of managed healthcare programs - HMO, PPO, and POS are preferred
  • Familiarity with Utilization Management Guidelines preferred
  • Familiarity with ICD-9 and CPT 4 coding preferred 

Nurse Reviewer I specific qualifications:

  • 3 + years recent clinical nursing experience in an ambulatory or hospital setting
  • Previous utilization and/or quality management and/or call center experience is helpful

 

Nurse Reviewer Associate specific qualifications:

 Graduate of an accredited school of nursing

  • Any experience in clinical nursing experience is a plus
  • Customer service experience is preferred
  • Quality management and/or call center experience is a plus

AIM- A Leading Employer of Choice, Benefits at a Glance

 

Along with a dynamic, entrepreneurial work environment, AIM offers competitive compensation, a generous benefits package and the opportunities for career progression you'd expect from an industry leader.

 

These benefits include:

            An array of Health, Dental and Vision Care Insurance plans

  • Term Life Insurance
  • Short- and Long-term Disability Insurance
  • 401(k) Employee Savings Plan with company match
  • Employee Stock Purchase Plan
  • Paid Time Off
  • Tuition Reimbursement
  • Tax-advantaged health care and dependent flexible spending plans
  • Health club reimbursement allowance
  • Licensure reimbursement for medical professionals

 

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/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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