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Anthem, Inc. Credentialing Specialist Lead in New York, New York


SHIFT: Day Job

SCHEDULE: Full-time

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 care companies and a Fortune Top 50 Company.

Location: Remote (100%)

Serves as team lead in the credentialing unit and/or for managing major projects and representing credentialing decisions to reviewing committee.

Primary duties may include, but are not limited to:

  • Audits work of other credentialing associates.

  • Responds to the most complex provider credentialing, compliance and accreditation issues.

  • Researches pending and probated applications and resolves discrepancies.

  • May assist in training needs.

  • Assists in developing training materials.

  • Establishes work priorities for the assigned team.

  • Assists in process improvement.

  • Serves as subject matter expert who may be assigned major projects within the department, primarily to include delegation oversight and compliance.

  • Assists in preparation for accreditation entities.

  • Attends committee meetings and is responsible to present case to the credentialing committee and to be able to explain decisions where discretion was used.


Minimum Qualification

  • Requires a BA/BS degree in a related field and minimum of 5 years credentialing experience; or any combination of education and experience, which would provide an equivalent background. Strongly preferred credentialing certification.

    We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at Anthem is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Applicants who require accommodation to participate in the job application process may contact for assistance.