Well Point / Anthem Work Values

Daily Duties at Well Point / Anthem :

• Instrumental in the development of renal disease management program • Performed telephonic care management for members with complex chronic care needs • Coordinated internal and external resources to meet contractual arrangements • Facilitated authorizations/referrals within benefit structure or extra-contractual arrangements • Evaluated and monitored effectiveness of care management plan • Interfaced with medical directors on development of care management treatment plans • Assisted in the development of utilization and care management policies • Educated clients, their families and healthcare professionals • Assisted in problem solving for members and providers • Negotiated rates of reimbursement • Identified Medicare rate overpayment resulting in over 250K in reimbursements • Promoted effective use of resources to optimize member outcomes across the continuum of care • Analyzed and reviewed medical records • Collected and compiled data for statistical analysis

What they like about Well Point / Anthem :

You highly value a work environment built on a formal structure, rules, and regulations. You do not enjoy the unpredictability of shifting priorities and deadlines that upset your routine. You require and enjoy direction, input and accountability as part of your work environment. You have a strong need to participate in making key decisions and feel left out if your superiors or co-workers do not seek your input when making decisions. You thrive on providing good customer service to both internal or external customers, and doing so makes you feel good.

Tags

Clinical Research Monitor, Regulatory Specialist, Case Management, Medical Management, Clinical Coordinator, Referrals Coordinator, Registered Nurse, Nephrology, Transplant, Clinical Research, Clinical Educator, Clinical Research Associate, Clinical Education Specialist, Clinical Outcomes Specialist, Clinical Integration Specialist, Disease Management, Project Management, Clinical Research Coordinator, Clinical Consultant, Clinical Nurse Liaison, ICH GCP E6, Clinical Implementation Specialist, EDC, IRB, Pharmaceutical, Rheumatology, Infectious Disease, Hepatology, Hepatitis, Gastroenterology (GI), IBD, IBS, Utilization Management

Skills

EDC system, Outlook, MS Word, Public Speaking, Educating

These are some of the questions we asked our climbers about their experiences with Well Point / Anthem :