Medical Director - North Carolina Remote (PS18176)
Healthcare - Allied Health
21 Timber Ridge
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As a Customer Care Representative you will guide members through their healthcare experience, answer customer questions via phone, e-mail, or chat; or help providers with questions about member plans. You will be the person that members can rely on to help them navigate their healthcare needs by explaining their benefits, solving claim concerns, finding a doctor nearby or being their healthcare advocate. You will be their guide to a better healthcare experience by being proactive, anticipating next steps, and ensuring that they only need to call once to get the help they need. Here's what a typical day may look like: From the moment you login, you'll be focused on answering customer calls, demonstrating our values as you proactively work to resolve our members' questions and concerns You'll strive for first call resolution, working to resolve member issues at the point of contact Using dual monitors and leveraging computer based resources you'll find answers to customers questions, and help simplify next steps for members without giving them homework Acting as an advocate for our members, you may reach out to partners in other departments, or to Doctor's office to help resolve a customer need or concern You will be constantly learning, growing your knowledge and skills, and embracing new technology as we continue to evolve how we service our customers Anthem offers competitive pay and quarterly bonus incentives based on individual and departmental performance. Opportunities for Overtime Annual increases based on performance Special recognition programs and other incentives 8 Paid Holidays Anthem recognizes the following holidays: New Year's Day, Martin Luther King Jr. Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day, the Day after Thanksgiving, and Christmas Day. Paid Time Off Our PTO program offers you the flexibility to take time off for vacation, personal or family illness, or other personal or family needs while balancing meeting the needs of our customers. Paid Paternity Leave & New Parent Transition Week Our new Paid Parental Leave provides fathers and mothers with up to four consecutive weeks of paid leave after the birth or adoption of a child. Health Benefits We offer a comprehensive benefits package to meet everyones different needs. This includes excellent Health Insurance, Dental, Vision, Short Term Disability, Long Term Disability, Critical Illness, Accidental and Basic Life. 401K Match Anthem has an outstanding 401(k) plan and match program. Through the 401(k) plan, both you and Anthem contribute to help build the foundation of your financial future. The plan allows you to save for retirement by setting aside eligible earnings from your paycheck on either a traditional pre-tax basis, or an after-tax Roth 401(k) basis, or any combination of the two. Anthem then matches your contributions up to a total potential match of 4.5%. Employee Discount Program Anthem offers access to employee discounts for many things from tickets, car rentals, and travel, to restaurants, car insurance, electronics and other merchandise. Employee Stock Purchase Plan Anthem offers associates the employee stock purchase plan (ESPP), which gives associates the opportunity to purchase Anthem stock at a discount through convenient payroll deductions. Perks Career Path Opportunities Anthem has incredible career advancement opportunities. Many of our trainers, quality coaches, managers and leaders also began their careers as Customer Care Representatives. Managers evaluate you based on your skills, behaviors and performance for readiness for promotional opportunities as early as 9 months after you begin. Development Opportunities Anthem provides many development opportunities within your job, as well as access to learning resources such as: online courses, videos, professional certification and leadership development programs to support your professional and career development. Education Assistance Anthem encourages associates to pursue learning opportunities at accredited institutions toward the completion of under-graduate and post graduate degrees, and will reimburse full time associates for up to $5,000 in eligible expenses ($2,500 for part-time). You can earn your bachelors degree on us, through Anthem's partnership with Southern New Hampshire University - College for America program, a project based learning program designed for busy working adults. Values in Action This recognition program lets managers award a cash or noncash incentive. Cash incentives range from $25 to $5,000. Wellness Center Anthem supports you in your efforts to get and stay healthy by offering a wide range of wellness programs, an onsite fitness center, healthy food subsidies in our onsite cafeterias, onsite flu shots and health screenings, and subsidized Weight Watchers subscriptions. Community & Volunteerism Anthem offers associates an inclusive and collaborative culture where everyone feels welcomed and respected. We also encourage you to volunteer within the community for your favorite nonprofit by giving you up to 8 hours per year of volunteer time off to work with eligible 501c3 public charities. Associate Resource Groups Our nine associate resource groups (ARGs) are formed around common interests, backgrounds and/or different aspects of diversity. Through their work and influence, our ARGs offer: Professional and personal development Different perspectives and innovative ideas Opportunities to connect culture to business decisions Locations & Amenities Many of our locations have onsite fitness centers, cafeterias or mini marketplaces, and game rooms for use during breaks. We also offer free onsite parking even in our downtown locations. Indianapolis, INCorporate Office, L. Ben Lytle Center Midland, GA Tampa, FL Denver, CO Las Vegas, NV Richmond, VA Other large Anthem Call Center locations: Tampa, FL Mason, OH Nashville, TN Houseton, TX Middletown, NY Roanoke, VA Fond du Lac, WI Newbury, CA Woodland Hills, CA Rancho Cordova, CA *This is not an exhaustive list of Anthem locations or amenities. Certain amenities may differ by location. Interview Process We view interviewing and the employment decision as a two way street, which begins with our Virtual Job Tryout. The Virtual Job Tryout gives you a chance to gain some insight into what the job of a Customer Care Representative, and gives us the opportunity to assess your skills. For the interview, we utilize a behavioral interview process to learn more about how you would approach scenarios, and gain insight into your experience. We invite you to also come to the interview with questions for us. Before beginning background checks, we will let you know we are interested in extending an offer to you and discuss new hire class start dates. Your Talent. Our Vision. At Healthy Blue, an Anthem Inc. company, its a powerful combination, and the foundation upon which were 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. Medical Director - North Carolina Remote opportunity Responsible for the administration of medical services for company health plans including the overall medical policies of the business unit to ensure the appropriate and most cost effective medical care is received and for the day-to-day management of medical management staff. Primary duties may include, but are not limited to: Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Identifies and develops opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company, may chair or serve on company committees, may be required to represent the company to external entities and/or serve on external committees, conduct peer clinical and/or appeal case reviews and peer to peer clinical reviews with attending physicians or other ordering providers to discuss review determinations, provides guidance for clinical operational aspects of the program. Supports the medical management staff ensuring timely and consistent responses to members and providers. Requires M.D. or D.O.; Board certification approved by the American Board of Medical Specialties required Must possess an active unrestricted NC medical license to practice medicine 10 years of clinical experience or any combination of education and experience, which would provide an equivalent background Unless expressly allowed by state or federal law, or regulation, must be located in a state or territory of the United States when conducting utilization review or an appeals consideration and cannot be located on a US military base, vessel or any embassy located in or outside of the US Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills. Anthem, Inc. is ranked as one of Americas 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 careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. At Anthem, Inc., there are many ways to make a difference. Here, the skills and passions of thousands come together, creating an impressive force with the power to change lives and the future of health care. Actuarial Contribute to analysis that impacts the financial future and well-being of our stakeholders, customers and the health care industry. Use your exceptional organizational and interpersonal skills to help ensure the consistent, quality-driven performance of a consumer-centric industry leader. Be the embodiment of our \"Easy-to-do Business With\" Value, by treating our customers the way you would want to be treated and providing simple solutions that are easy to understand. Lead the development of new messaging, products and innovations that continuously improve the value of our offerings to customers. Become the ultimate customer advocate. Share your expertise and help customers maximize the value of the tools and resources we provide. If you are eager to develop innovative digital products in healthcare and make a difference in people's lives, join our Digital organization and help us change the face of healthcare together. Bolster the strategic objectives of a Fortune 50 industry leader, while supporting the tenet of financial integrity that is fundamental to Anthem, Inc.'s Purpose, Vision and Values. Provide strategic analysis that impacts business decisions, improves efficiency and drives innovation. Lead our workforce and workplace talent strategies, to accomplish our vision to be recognized as Americas valued health partner. Lead our workforce and workplace talent strategies, to accomplish our vision to be recognized as America's valued health partner. Leverage your talents to make a difference in people's lives, by providing innovative, data-driven solutions that can measure and track progress in our members' health. Drive the future of health care, by helping us improve health outcomes and quality of life for our associates, members and communities. Work in areas of specialty as varied as Life & Disability Underwriting, Pre-Sales, Retention and Implementation, Risk Analysis and Medical Evidence Underwriting. Stretch your analytic problem-solving skills while working on enterprise-level projects and cross-functional teams. At Anthem, were in the business of taking care of people. In fact, everything we do is aimed at creating positive outcomes that make a difference in peoples lives, which of course includes our family of associates. Anthem continues to demonstrate the kind of visionary leadership needed to drive the future of health care. Our efforts and accomplishments have been recognized by numerous leading publications and organizations. As one of Americas largest health benefits companies, we have a profound appreciation for service. Our organization proudly supports our nations active, reserve and veteran military service members and their spouses. Why is Anthem a respected industry leader? Our standards are high for the service we provide our members and the support we show our associates. Every day, we answer the call to do the right thing and to treat others with respect. This is the sense of purpose that leads Anthem to thrive, and which will ensure our future success, and yours. Life at Anthem How often do you get the chance to do something truly life-changing? If you work with us the answer is ... every day. Our determination to drive the future of health care is ambitious, but so are our people. Diversity and inclusion play a major role in our success, because its more than just a philosophy to us, it drives our power to innovate. From our corporate culture and strategic partnerships, to our commitment to our associates, our customers and communities, diversity is foundational in everything we do. Please be advised that Anthem, Inc. only accepts resumes from agencies that have a signed agreement with us. Accordingly, Anthem, Inc. is not obligated to pay referral fees to any agency that is not a party to an agreement with us. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem, Inc. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ...@icareerhelp.com for further assistance. EEO is the Law Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. *WARNING: Please beware of phishing scams that promote work-at-home opportunities and which may also pose as legitimate companies. Please be advised that an Anthem recruiter will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for a role with our company. All of our careers require that you first complete an online application.
Associated topics: bilingual, care, family, outpatient, physician md, practice physician, primary, primary care, provider, urgent care
* The salary listed in the header is an estimate based on salary data for similar jobs in the same area. Salary or compensation data found in the job description is accurate.