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Anthem Clinical Quality Compliance Admin - Fresno, CA. -PS26344 in Long Beach, California

Clinical Quality Compliance Admin - Fresno, CA. -PS26344

Location: United States

Requisition #: PS26344

Post Date: Sep 26, 2019

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.

Clinical Quality Compliance Admin -Fresno, CA. - PS26344

Summary: The Clinical Quality Compliance Admin is responsible for coordinating Quality Management (QM) activities related to compliance and accreditation for an assigned SBU.

Primary duties may include, but are not limited to:

  • Develops and maintains pertinent quality improvement plans.

  • Monitors adherence to plans and prepares status reports.

  • Identifies quality improvement opportunities and implements related activities.

  • Ensures all improvement activities are updated as regulatory and quality standards change.

  • Implements standardization of quality improvement procedures and documentation within SBU.

  • Develops and delivers executive level presentations and represents senior management on quality improvement issues and related committees.

Qualifications:

  • Requires a BA/BS; 3 years of quality improvement experience; or any combination of education and experience, which would provide an equivalent background.

  • Experience with regulatory/quality improvement standards.

  • Strong data and statistical analysis essential.

  • Ability to travel overnight maybe required.

  • Knowledge of DHCS standards in a health or managed care environment is preferred.

Anthem, Inc. is ranked as one of America’s MostAdmired Companies among health insurers by Fortune magazine and is a 2018Diversity Inc magazine Top 50 Company for Diversity. To learn more about ourcompany and apply, please visit us at careers.antheminc.com.

An EqualOpportunity Employer/Disability/Veteran

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