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Anthem, Inc. Associate Behavioral Health Clinical Quality Audit Analyst in Newbury Park, California

Description

SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.

Location: Remote based

The Associate Behavioral Health Clinical Quality Audit Analyst position will be responsible for working on clinical/quality improvement activities, analysis and reporting of key quality indicators.

What does a typical day look like?

Primary duties may include, but are not limited to:

  • Performs research, reporting, and data analysis focusing on NCQA and URAC accreditation activities.

  • Supports and evaluates clinical, service, and quality programs and activities.

  • Performs analysis and reporting related to HEDIS/QARR measures and participates on HEDIS committees and with activities as assigned.

  • Provides support to Clinical departments in the analysis and reporting of periodic performance data, including monthly, quarterly, semi-annual and annual analyses as specified in the Clinical Work plan and contractual documents.

  • Performs regular review and update of Core Performance Indicator data for the oversight of clinical and quality performance and reports results.

  • Assists with the Outpatient and Inpatient audit processes by supporting clinical teams on analysis, reporting and follow up of performance data.

  • Attends Provider Advisory Council meetings as assigned and presents summary information on Quality Dept. data and initiatives.

  • Represents Clinical Department at internal plan specific operations meetings.

  • Provides analytic support for Quality Improvement Activity (QIA) project teams.

  • Take minutes and develop project plans as assigned.

  • Ensures that the company remains in compliance with NCQA standards.

  • Assists in the URAC accreditation process.

  • Performs special projects

Qualifications

What You Contribute:

  • Requires a Bachelor’s degree in behavioral health or related field; and 2 years of experience in healthcare; or any combination of education and experience, which would provide an equivalent background.

  • 2 years of experience in behavioral health preferred.

  • 3 years of experience in data analysis, report writing and quality improvement activities preferred.

Applicable to Colorado Applicants Only

Annual Salary Range*: $37,520 - $46,900

Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.

  • The salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company’s sole discretion, consistent with the law.

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.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions

REQNUMBER: PS44490

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