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Anthem Benefits Analyst II or III - #PS21529 in Rancho Cordova, California

Benefits Analyst II or III - #PS21529

Location: United States


Requisition #: PS21529

Post Date: 3 days ago

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 healthcare .

This is an exceptional opportunity to do innovative work that means more to you and those we serve atone of America's leading health benefits companies and a Fortune Top 50 Company.

Benefits Analyst II or III

Open to most Anthem locations - for remote arrangement, must be within 50 miles of an Anthem office

The Benefits Analyst II or III will be responsible for identifying complex business needs and translates the needs into application software requirements insupport 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 bestapproach 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 systemfunctionality.

  • 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.

Benefits Analyst II:

Requires a High School diploma or GED; up to 3 years experience in claims processing, previous medical health care oranalytical experience; 3-5 years benefit coding experience; or any combination of education and experience that wouldprovide an equivalent background. BA/BS degree preferred.

Benefits Analyst III:

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 ofeducation and experience that would provide an equivalent background.

Anthem, Inc. is ranked as one of America’sMost Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityIncmagazine Top 50 Company for Diversity. To learn more about our company andapply, please visit us at An Equal Opportunity Employer/Disability/Veteran.