Anthem, Inc.

Process Improvement Manager

Posted on: 19 Nov 2021

Carlsbad, CA

Job Description

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 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 care companies and a Fortune Top 50 Company.

NOTE: This position is work from home with the applicant's physical location being within a reasonable commute to any Anthem office in the US. 

Process Improvement Manager (E13)  - Responsible for process improvement projects to increase the quality and performance of a business unit.

Primary duties may include, but are not limited to:

Provides process improvement methodology, coaching and training to associates and team members who are participating in process improvement projects.
Collaborates with cross-functional teams in the identification, research, and implementation of process improvements.
Leads projects of significant scope.
Manages internal and external process improvement projects with team members who work across regional and enterprise wide organizational structures and with external parties (providers and trade organizations) to formulate consensus on improvements and to implement internal and external systems, policies, and procedures.

Process Improvement Consultant (E12) - Responsible for generating process improvements that bring about measurable improvement in quality and/or efficiency. Contributes to achieve department's objectives by serving as key contact for researching and implementing solutions and tools for new systems and other key operational improvements, provide guidance to leads, operations experts, associates, and/or managers on process improvement issues.

Represents the department on process improvement teams, special projects and implementation of new technology.
Lead role in coordinating annual review/revision of procedures.
Leads the training of associates when new processes or procedures are implemented.
Communicates process information and facilitates workgroups to ensure accurate and consistent workload reporting.
Review /analyze monthly workload reports to ensure goals are on-target (timeliness, backlog) across all operational sites.
Identify areas of concern & implement corrective plans if necessary. Uses reports and production statistics to represent unit(s) in departmental process improvement and system changes and provides specialized input on reports to management.

Process Improv Analyst (E11) - Responsible for identifying process improvement strategies to achieve quality goals.

Conducts assessments of current processes, reports and procedures.
Identifies process improvements and recommends solutions for corrective, preventive actions.
Collects data and performs quantitative analysis to substantiate assumptions.
Performs any necessary ad hoc reporting.
Coordinates training and documentation required by the changes.
Measures outcomes of quality improvements using metrics and benchmarking criteria.
Documents quality initiatives for regulatory requirements.

Anthem, Inc.

Indianapolis, IN

Anthem, Inc., through its subsidiaries, operates as a health benefits company in the United States. It operates through three segments: Commercial & Specialty Business, Government Business, and Other. The company offers a spectrum of network-based managed care health benefit plans to large and small group, individual, Medicaid, and Medicare markets. Its managed care plans include preferred provider organizations; health maintenance organizations; point-of-service plans; traditional indemnity plans and other hybrid plans, such as consumer-driven health plans; and hospital only and limited benefit products.

The company also provides a range of managed care services to self-funded customers, including claims processing, underwriting, stop loss insurance, actuarial services, provider network access, medical cost management, disease management, wellness programs, and other administrative services. In addition, it offers an array of specialty and other insurance products and services, such as dental, vision, life and disability insurance benefits, radiology benefit management, and analytics-driven personal health care guidance; and Medicare administrative services.

Further, the company provides services to the federal government in connection with the Federal Employee Program; and operates as a licensee of the Blue Cross and Blue Shield Association. As of December 31, 2018, it served 40 million medical members through its affiliated health plans. The company was formerly known as WellPoint, Inc. and changed its name to Anthem, Inc. in December 2014. Anthem, Inc. was founded in 1944 and is headquartered in Indianapolis, Indiana.

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