🌎
This job posting isn't available in all website languages

Mgr I Utilization Management (Cerritos, CA) PS33663)

📁
Customer Service
📅
PS33663 Requisition #

Your Talent. Our Vision.  At CareMore, a proud member of the Anthem, Inc. family of companies specializing in providing senior Americans a complete and pro-active health care experience, it’s a powerful combination.  It’s 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.



Location: Office Based position in Cerritos, CA

 
 

The Manager I Utilization Management is responsible for the daily management of the department. 


Primary duties may include, but are not limited to: 

  • Supervises workflow and performance of associates. 
  • Assists in coordination and development of UM quality initiatives.
  • Participates in strategic planning and budget processes. 
  • Ensures compliance with departmental policies and procedures. 
  • Works in conjunction with other UM staff to improve service quality initiatives, develop audit tools, and meet NMIS and other quality standards. 
  • Provides quality control services such as call monitoring. 
  • Develops and implements associate training. 
  • Performs audits to monitor efficiency and compliance with policies. Prepares reports. 
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports. 

Qualifications:

  • Requires a HS diploma or G.E.D.
  • 4 years operational experience in a progressively complex customer service or call center; or any combination of education and experience, which would provide an equivalent background.
  • Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • A valid, unrestricted, LVN or LPN or RN license in California is preferred.
  • BSN preferred. 
  • People management experience preferred. 
  • Knowledge of Medicare rules, regulations and guidelines 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.

Previous Job Searches

Activity Feed

29220
Job shares through Anthem, Inc.
Faith Cao referred the Business Information Analyst II position. 2 days ago
Michelle Smith referred the Manager Business Project & Support- PS29830 position. Feb 19, 2020
April Cook referred the Business Consultant (PS33436) position. Feb 18, 2020
Snehal Shah referred the Financial Pricing & Analysis Consultant - PS33285 position. Feb 11, 2020
Cassagnol Innocent referred the Investigator II-Remote in MD (PS32562) position. Feb 11, 2020

Similar Listings

Cerritos, California, United States

📁 Customer Service

Requisition #: PS30302

Cerritos, California, United States

📁 Customer Service

Requisition #: 0144381

Total Rewards

Explore Anthem, Inc.'s Total Rewards

Total Rewards is Anthem, Inc.'s overall program of benefits – from health care coverage to a winning culture and everything in between. We know that one size does not fit all when it comes to personal decisions about things like balancing your work and home life or saving for your retirement. That’s why our program is specifically designed to offer associates flexibility and choice.

Click the links below to learn more about Anthem, Inc.'s Total Rewards, and then use the "Flextimator" to model your approximate bi-weekly costs for the benefits in which you might choose to enroll.

2019