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SCA Quality Auditor I or II

Anthem, Inc.

This is a Full-time position in Hingham, MA posted February 22, 2021.

n n nnWelcome to the Anthem Careers site!

We have been hard at work to improve our job search and application systems to better serve you.

It is now easier to find and apply for relevant jobs as well stay connected with Anthem.

Here are a few of the updates you may notice:nn No more profiles!

We no longer require you to create a log in and password to apply for a job and you won’t be able to access previously created profiles, but don’t worry – we still have your previous application(s) on file.

Due to technical difficulties currently being resolved, the ‘Track Your Job Application Status’ functionality is not available.

Job Alerts – If you had previously registered to receive job alerts and wish to continue to receive these notifications, please re-register by clicking the “job alert” button.

NEW!

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Join a Talent Network to stay informed on news and job opportunities with the Anthem Team!

nnIt is important that you apply using an email address which is unique to you and not shared with a friend, relative, spouse, or significant other.

Our recruiting system uses your email address as your unique identifier.

If you apply with a shared email address, your application will overwrite any previous applicant record with the same email address.

Additionally, please ensure that you use a valid email address, free from typos, as there are a variety of communications which may be sent to the email address with which you applynn nSCA Quality Auditor I or IIn nn Your Talent.

Our Vision.

 At National Government Services (NGS), an independent subsidiary of Anthem, Inc.

andone of the largest Medicare contractors in the country, it’s a powerfulcombination.

It’s the foundation upon which we’re creating greater accessto care for our members, greater value for our customers and greater health forour communities.

Join us and together we will drive the future ofhealth care.nn nnThis is an exceptionalopportunity to do innovative work that means more to you and those weserve. nn nn SCA Quality Auditor I or II nn nnThe SCA Quality Auditor is responsible for examining and evaluating the accuracy oftransactions in accordance with regulations and company guidelines. nn nn Primary duties mayinclude, but are not limited to:  nn Identifies documents and reports any transaction errors in a timely manner to ensure prompt resolution.  Applies expert knowledge in most areas.  Able to perform simple functions; works under general direction.  Examines and evaluates on a prepayment basis the accuracy of transactions processed by reviewing policy, procedure and manual input in accordance with guidelines.  Tracks and trends audit results, providing feedback to management.  Generates monthly reports of audit findings, supports clients with issued identified, develops reports to assist management with information requested.  Produces other ad hoc reports as requested by internal and external clients.  nn Qualifications nn nn Qualifications: nn Level I: 9 months to 1 year related experience;  Level II: 2 to 3 years related experience; A.S.

degree preferred.

SME in at least one operational area.

Or, any combination of education and experience, which would provide an equivalent background.

nn Preferred skills nn A working knowledge of the Medicare program is required Experience processing Provider enrollment applications is preferred Medicare and Medicaid processing experience; claims, appeals, etc.

PECOS, FISS, and/or MCS platform experience/ working knowledge Auditing of operational transactions experience Intermediate to advanced MS Office experience Navigating through SharePoint experience Strong verbal and written communication skills is required Must be able to work in a fast paced/ high volume environment nn Non-negotiable hourlyrate for this position by location.

nn nnAtlanta, GAnn nn16.00nn nn16.00nn nnBirmingham, ALnn nn16.00nn nn16.00nn nn16.00nn nnHarrisburg, PAnn nn16.11nn nnHingham, MAnn nn17.68nn nnIndianapolis, INnn nn16.12nn nnLouisville, KYnn nn16.00nn nnManchester, NHnn nn16.00nn nn16.66nn nnSouth Portland, MEnn nn16.00nn nn16.00nn nn Anthem, Inc.

isranked as one of America’s Most Admired Companies among health insurers byFortune magazine and is a 2019 DiversityInc magazine Top 50 Company forDiversity.

To learn more about our company and apply, please visit us atcareers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.

nn nnPlease be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem.

Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem.

Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem.nn nEEO is the Lawn nnPlease use the links below to review statements of protection from discrimination under Federal law for job applicants and employees.nn nnAnthem, 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 ability@icareerhelp.com for further assistance.nn nn *WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies.

Please be advised that Anthem 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 employment with our company.

If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the ‘Rip-offs and Imposter Scams’ option.

Anthem requires a completed online application for consideration of employment for any position.nn n n