Anthem, Inc. Program Administrator in Pico Rivera, California
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 care companies and a Fortune Top 50 Company.
The Program Administrator is responsible for the administration of CA provider related programs within the WGS COE (Center of Excellence). Support business strategies for provider facing projects or initiatives.
Primary duties may include, but are not limited to: • Administers the implementation and compliance of provider related programs including mandatory reporting to State agencies. • Ensures programs meets their stated objectives. • Provides subject matter expertise in response to day to day business issues. • Researches applicable subject matter, practices and remains aware of industry trends. • Manages relationships and partners with corporate and regional business areas. • Assists in implementation of new provider groups or provider terminations as required. • Manages routine and ad hoc member reassignments. • Coordinates training related to the provider programs; develops program success measures. and performs periodic assessments of provider program success. • Schedules, conducts and attends meetings, supports management in overall objectives. • Compiles complex provider related data and able to prepare and deliver presentations.
Required Qualifications: • Requires an BA/BS degree in related field. Minimum of 2 years’ experience in provider programs/provider data management or other healthcare related field; or any combination of education and experience, which would provide an equivalent background
Preferred Qualifications: • WGS experience is highly preferred • Knowledge of CA Medicaid preferred
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. 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 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.