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Director Clinical Programs - PS19620

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Medical
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PS19620 Requisition #
Thanks for your interest in the Director Clinical Programs - PS19620 position. Unfortunately this position has been closed but you can search our 1,203 open jobs by clicking here.
  • Requires a BS in nursing or a physician’s assistant credential.
  • 6 years of experience in a health care environment, health education program planning or social service including 2 years of managed care experience.
  • 2 years of management experience.
  • 2 years of experience directing, implementing, and managing large projects.
  • Any combination of education and experience, which would provide an equivalent background.
  • Nurse or physician assistant experience required.
  • Experience in public speaking at conferences and other public venues required.
  • Certified coding specialist (CCS); certified documentation improvement practitioner (CDIP) preferred.
  • Knowledge of auditing, a working knowledge of CPT/HCPCS and ICD 9 and ICD 10 preferred.
  • Working Knowledge of DRG Validation preferred.
  • Medical claims review with prior health care audit experience preferred. 
  • Previous experience in HIM and/or provider audit or Clinical Documentation Improvement preferred.
  • Dietetic certification and course completion/certification in America's Health Insurance Plans Executive Program or similar program preferred.
  • MS in public health, health education, public policy, health administration or a related field required.
  • PhD in public health, health education, public policy, health administration or a related field 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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Anthem does not do business with persons or entities identified on the General Services Administration's List of Parties Excluded from Federal Programs and the HHS\OIG List of Excluded Individuals\Entities.

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Anthem also offers various discount options that provide you with the opportunity for early payment and we are also encouraging our suppliers to participate in our electronic funds transfer (EFT) method of payment. The EFT method of payment will improve the efficiency of our payment processes and ensure that you are paid properly and on time.

Anthem, Inc. Supplier Registration Process

*Please Note: To complete the supplier registration process, you will leave antheminc.com and will be directed to the Ariba Network (AN) site. Once there please click on Register as New Supplier to complete the online registration form and follow the on-screen instructions.

Supplier Registration

Anthem, Inc. utilizes the Ariba Network to determine qualified suppliers that meet Anthem’s business need. Prospective suppliers should complete Ariba’s Supplier Registration Process.*

*Please Note: To complete the supplier registration process, you will leave antheminc.com and enter the Ariba Network (AN) site. Once there, please click on 'Register as New Supplier' on the left-hand side of the screen, complete the online registration form and follow the on-screen instructions.

Anthem does not do business with persons or entities identified on the General Services Administration's List of Parties Excluded from Federal Programs and the HHS\OIG List of Excluded Individuals\Entities.

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Guidelines for Prospective Suppliers (PDF)

Company Policy and Procedures (PDF)

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