Anthem, Inc. Operations Expert in Houston, Texas
SHIFT: Day Job
Your innovation. Our impact. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater access to care for our members, greater health for our communities, and greater experiences for our customers. Innovation is a top priority. Here, you’ll have an opportunity to work in a collaborative environment that brings together industry leaders and technology experts, so together we can drive the future of health care.
This is an exceptional opportunity to create solutions and programs that can truly make a difference at one of America's leading health benefits companies and a Fortune Top 50 Company.
Responsible for providing issue resolution, technical direction, guidance and resources to MAPD/Duals customer service associates on a day-to-day basis.
Primary duties may include, but are not limited to:
Serves as a first line resource for customer service associates for complex issues
Resolves all issues real time when possible and escalates when appropriate
Provides operational training; assists associates by answering day-to-day questions
Encourages a teamwork environment; monitors inventory to ensure workflow remains uninterrupted
Handles complex case research and resolution
Reviews, interprets and maintains records of service level, quality, accuracy, and productivity
Reviews department policy and procedure manuals for accuracy
Works with training department to ensure procedures and policies are accurate and complete.
Requires HS diploma or equivalent; 5 years related experience and 3 years of experience and expertise with company relevant automated processing systems; or any combination of education and experience, which would provide an
Previous leadership 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