Anthem, Inc. Mgr I Utilization Management in Grand Prairie, Texas
SHIFT: Day Job
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 position will be required to work from any Anthem office in Texas:
Austin, El Paso, Grand Prairie, Houston, Lubbock or San Antonio
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 other quality standards.
Provides quality control.
Develops and implements associate training.
Performs audits to monitor efficiency and compliance with policies.
Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires HS diploma or equivalent
4 years operational experience in progressively complex customer service;
Or any combination of education and experience, which would provide an equivalent background.
Prior people leadership required (staff reported to you or you were the assigned team lead).
UM experience highly preferred.
RN or BSN 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.