Anthem, Inc. Benefits Analyst III in Columbus, Ohio
SHIFT: Day Job
Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and the foundation upon which we’re creating greater 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
Responsible for identifying complex business needs and translates the needs into application software requirements in support of operations, productions and projects.
Primary duties may include, but are not limited to:
Designs and builds new complex non-standard benefit plans, reviews and analyze benefit summaries; and identifies best approach to code/develop benefits to achieve optimum adjudication levels.
Maintains avoidance to negative financial, regulatory, and operational impact.
Performs testing and quality assurance of new product developed.
Research and analysis of RFP proposals, and product projects.
Create and maintain issue log on appropriate tool, resolve defects based on knowledge and analysis of system functionality.
Researches and responds to complex inquiries from various departments.
May consult with and mentoring of less experienced team members.
Serves as trainer for standard and highly customized benefit configuration.
Represents department in production related meetings including product development, design and implementation.
Must be able to perform all duties of lower level positions as directed by management.
Requires a BA/BS degree in a related field; 3-5 years experience in claims processing, previous medical health care, analytical experience, or project management experience; 5 + years of benefit coding experience; or any combination of education and experience that would provide an equivalent background. 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.