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Outreach & Education Representative *Future Opportunity* Indianapolis, IN

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Public Affairs/Communications
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0140083 Requisition #
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater value for our customers, and greater health for our communities. Join us and together we will drive the future of health care.
This is an exceptional opportunity to do innovative work that means more to you and those we serve at one of America's leading health benefits companies and a Fortune Top 50 Company.
 
**This posting is for future hiring. **
 
The Outreach & Education Representative will be responsible for developing and maintaining positive relations between providers, third party administrators, trade/professional Associations and the Centers for Medicare/Medicare Services (CMS) or DOD delivery system. Primary duties may include, but are not limited to:
  • Researches and resolves Medicare or Tricare operational issues.
  • Works with all Medicare or Tricare operational departments to address provider grievances and service and educational issues.
  • Provides education and training to providers regarding Medicare or Tricare regulations, program transmittals, change requests, and joint signature memorandums via face-to-face and web-based training platforms.
  • Utilizes comprehensive knowledge of some Medicare or Tricare coverage issues, medical coding, and general knowledge of CMS or DHA claims processing systems.
  • Identifies and selects potential providers to participate in CMS or DHA guided focus groups, Medicare/Tricare advisory panels etc.
  • Requires a BA/BS; 3 years of Medicare or Tricare Contract experience; 2 years of experience in adult learning or instructional design theory training; or any combination of education and experience, which would provide an equivalent background.
  • Certified medical coder preferred.
  • Some travel required.

 

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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Operations

Apply your problem-solving skills and work on enterprise-level projects with cross-functional teams.

Operations professionals at Anthem:

  • Drive greater consistency, standardization and constant improvement of our business processes and technology platforms
  • Contribute to our goal of reducing health disparities between different segments of the population by working to optimize processes that increase health care affordability and transparency
  • Leverage advanced technology to continually offer associates and members new ways to connect and share information related to their health and health benefits

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