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G&A Audit

Company: Anthem, Inc
Location: Costa Mesa
Posted on: November 17, 2019

Job Description:

G&A Audit Specialist-PS30172Location: California, United StatesNewRequisition #: PS30172Post Date: 4 days agoYour Talent. Our Vision. At Anthem, Inc., its a powerful combination, and the foundation upon which were 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.Grievance and Appeals Audit Specialist-Remote in CA, NV, TX, KS, WA, CO, or NEResponsible for Medicaid Grievances & Appeals audit preparation activities that include the presentation of case specifics to the external entity auditing Anthem. Primary duties to include, but are not limited to:

  • Manage and oversee external audit requests and delegated entity functions for Grievance & Appeals.
  • Interpret audit requests and prepare comprehensive responses.
  • Support and participate in planning, executing, and facilitating audits/audit requirements.
  • Based on audit findings/review, participate in root cause analysis, process improvement and communication activities on behalf of G&A.Requires:
    • Bachelor's degree and 2-3 years related experience
    • or the equivalent combination of education and experience.
    • Good analytical and problem-solving skills required.
    • Excellent oral and written communication skills necessary.
    • Strong organizational skills required
    • Must be proficient in Excel, SharePoint, and Word
    • Must be proficient in multi-system manipulation
    • Familiarity with state specific Medicaid regulations preferred
    • Previous experience in auditing strongly preferred
    • Compliance, Grievance and Appeals analysis, or data analysis experience preferred
    • Up to 25% travel requiredAnthem, Inc. is ranked as one of Americas 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.

Keywords: Anthem, Inc, Pomona , G&A Audit, Accounting, Auditing , Costa Mesa, California

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