Anthem Jobs in Columbus – Business Change Manager

Website Anthem

Job Description:

Your Talent. Our Vision. At CareMore, a proud member of the Anthem, Inc. family of companies, it’s a powerful combination. It’s 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.

CareMore is a proven care delivery model for the highest-risk. We are a team of committed clinicians and business leaders passionate about transforming American healthcare delivery. We build and lead integrated, multi-disciplinary clinical teams to care for the most complex patients. We strive for excellence and have achieved significant and measurable improvement in total cost of care, clinical outcomes, and experience. As an Anthem subsidiary, we benefit from the scale and resources one of America’s largest managed healthcare organizations.

Responsible for working with management to identify and implement varied projects, programs and plans that support achievement of business unit and enterprise goals. Primary duties to include, but are not limited to:

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Job Responsibilities:

  • Identifies potential issues, project charge, and scope for CM/DM/UM programs, workflows, policies and procedures, accreditation, reporting capabilities and key metrics.
    Leads efforts as Care Management SME/trainer for clinical programs
  • Identifies impacted parties, business partners, and resources required.
  • Develops and designs processes and systems that support business needs in the areas of quality improvement and compliance monitoring activities.
  • Designs methods for integrating function and process.
  • Conducts cost/benefit analyses.
  • Builds support for business change throughout the business unit.

Job Requirements:

  • Requires a BA/BS degree in a related field; with unrestricted RN license and experience in Medicare or Medicaid
  • 5-8 years of process or project related experience that includes experience in successfully developing and managing projects with fairly significant operating budget and knowledge of process redesign; or any combination of education and experience, which would provide an equivalent background.

Job Details:

Company: Anthem

Vacancy Type:  Full Time

Job Location: Columbus, GA, US

Application Deadline: N/A

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