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Investigator II-Remote in MD (PS32562)

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Fraud
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PS32562 Requisition #
Thanks for your interest in the Investigator II-Remote in MD (PS32562) position. Unfortunately this position has been closed but you can search our 752 open jobs by clicking here.
Investigator II
  • Requires BA/BS degree, 3+ years of healthcare fraud investigations experience; or any combination of education and experience, which would provide an equivalent background.
  • Fraud certification from CFE, AHFI, AAPC or coding certificates preferred.
  • Knowledge of Plan policies and procedures in all facets of benefit programs management with heavy emphasis in negotiation preferred.
  • Healthcare medical coding experience strongly preferred
  • Microsoft Excel
  • Must be able to sit travel up to 20% and be located in Maryland.

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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Transformation Office

You’re driven, client-focused, collaborative, strategic, and goal-oriented. You thrive on making an impact by implementing sustainable improvements and leading business transformations.

To remain leading-edge, we employ a highly skilled, versatile, and diverse internal management consulting team, our Transformation Office. This team partners with commercial business and shared service leaders to understand, improve and objectively solve complex, cross cutting challenges; execute upon strategy and implement high value initiatives; and build new business and cultural capabilities to achieve Anthem, Inc.’s vision, values, and objectives.

Highlights

The Transformation Office hosts an exciting internal consultant internship that provides a unique, hands-on experience within our internal management consulting team. As part of this summer internship, you will:

  • Help us address pivotal business and organizational opportunities
  • Contribute to the achievement of both sustainable improvements and transformational change
  • Establish relationships at the executive level across the Anthem, Inc. organization
  • Lead an initiative to enhance effectiveness and profitability

Qualification for Program

Interns must have completed two years of college, be enrolled in an accredited university or college and have a 3.0 or above grade point average. Additionally, intern candidates will typically have:

  • BA/BS major in one of the following fields: Business Administration, Finance, Communications, Healthcare Management, Healthcare Administration, Public Health, Marketing, Engineering, or Technology
  • Student leadership experience (preferred)
  • Excellent communication
  • Analytical and financial acumen
  • Project management skills (including time management, risk management, etc.)
  • Leadership skills

Interns must have U.S. work authorization, and be enrolled and in good standing in a full-time, accredited Master’s program. Additionally, intern candidates will typically have:

  • Master’s degree in business, healthcare or public affairs related field and 5-7 years’ experience in management consulting, change management, large scale project management and/or process improvement leadership (or equivalent combination of relevant education and experience)
  • Strong business acumen
  • Excellent communication, cost-benefit analysis, situational leadership and execution skills
  • Excellent computer skills, demonstrating fluency with all key packages
  • Advanced decision making through data driven analysis
  • Ability to provide vision, direction and leadership to high-performing teams, on high-priority, medium-sized projects
  • Strong relationship management skills with professionals at all levels within the organization
  • Cross-functional perspective and quick, continuous learning style
  • Ability to work effectively in a virtual team environment
  • Ability to travel up to 25-50% of the time (varies based on project assignment)

Additionally, the following are highly preferred, but not required:

  • Healthcare experience
  • Six Sigma Black Belt Certification or Lean Masters certification
  • Project Management (PMP) certification

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