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Credentialing Associate

Company: Anthem, Inc
Location: Thousand Oaks
Posted on: May 31, 2021

Job Description:


SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision. At Beacon Health Options, 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.

For more than 30 years, Beacon Health Options has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 37 million people across all 50 states. At Beacon, our mission is to help people live their lives to the fullest potential. Beacon offers superior clinical mental health and substance use disorder management, a comprehensive employee assistance program, work/life support, specialty programs for autism and depression, and insightful analytics to improve the delivery of care.

Position: Credentialing Associate

Location: Can be REMOTE

Shift: Monday - Friday; 8:30 am - 5:00 pm

The Credentialing Associate is responsible for processes credentialing and re-credentialing files in accordance with Company and departmental policies and procedures and in compliance with state and federal laws and regulations and accrediting organization standards.

Primary duties may include but are not limited to:

+ Assures the confidentiality and integrity of all aspects of the credentialing program and process including communication of information regarding participating providers to Medical Directors, Credentials Committee and other internal departments, as well as database management, provider relations and contracting.

+ May be utilized within the Credentialing Database Operations unit or the Credentialing Policy Committee unit to support the company's entire credentialing process.


+ Education: Requires a high school diploma or GED

+ Experience: one year of office experience in a health care environment; or any combination of education and experience, which would provide an equivalent background.

+ Knowledge, Skills, & Abilities:

+ Strong oral, written and interpersonal communication skills

+ Knowledgeable of current NCQA, CMS, DHCS, DMHC and other regulatory body's credentialing standards.

+ Previous data entry required. Microsoft Word, Excel, Outlook and Powerpoint experience required.

+ Self-motivated, able to prioritize multiple assignments, excellent organizational skills, ability to track multiple projects/tasks and follow through as needed.

Applicable to Colorado Applicants Only Hourly Pay Range*: $15.37 - $19.21/hr Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. * The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) + match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few. An Equal Opportunity Employer/Disability/Veteran.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.

REQNUMBER: PS43063-California

Keywords: Anthem, Inc, Thousand Oaks , Credentialing Associate, Other , Thousand Oaks, California

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