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PS27394 Requisition #
Thanks for your interest in the Manager II (RN) Grievance/Appeals - PS27394 position. Unfortunately this position has been closed but you can search our 1,054 open jobs by clicking here.

 

 Qualifications: 

  • Requires 5 + years grievance & appeals experience and 3-5 years of management experience in the healthcare industry; or any combination of education and experience, which would provide an equivalent background.
  • BA/BS preferred.
  • Active unrestricted RN license in Washington DC required.
  • Accreditation Audit experience highly desired.
  • State regulatory presenting experience highly desired.
  • Managed care experience preferred.
  • UM experience preferred.
  • Pega Next-Gen experience preferred.
  • For URAC accredited areas the following applies:
    • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.

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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