Anthem, Inc Medicaid State Ops Claims Analyst - Eagan, MN office or other Anthem / AGP office (PS13971) in South Bend, Indiana

Medicaid State Ops Claims Analyst - Eagan, MN office or other Anthem / AGP office (PS13971)

Location: Eagan, Minnesota, United States

Field: Claims

Requisition #: PS13971

Post Date: Nov 01, 2018

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 benefits companies and a Fortune Top 50 Company.

Preferred Location: Eagan, Minnesota office - 3000 Ames Crossing Road

Other Locations: Candidates willing to work from their local Anthem / Amerigroup office location will be considered.

Work@home at mailto:FutureWork@home may be offered in the future.

The Medicaid State Operations Analyst for Minnesota is responsible for researching, analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues for the Health Plan and requires expert knowledge of all systems, tools and processes. Primary duties may include, but are not limited to:

  • Receiving and responding to state or federal regulatory complaints related to claims;

  • Managing health plan dispute escalations;

  • Quality review of various dispute outcomes;

  • Managing complex system issues;

  • Managing state updates.

Requires:

  • BA/BS; 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry; or any combination of education and experience, which would provide an equivalent background.

  • Proficient using Facets strongly preferred

Anthem, Inc. is ranked as one of America’s 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 antheminc.com/careers. An Equal Opportunity Employer/Disability/Veteran.