Nurse Appeals (Mason, OH) PS30818 (Project Management)
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 benefits companies and a Fortune Top 50 Company.
Nurse Appeals (Medicare Appeals and Grievance) - Mason, OH
**This position is a second shift schedule. Candidates must be available to work an 8 hour shift between the hours of 8 am and 8 pm EST, Tuesday through Saturday, including holidays on a rotation. Saturday is a scheduled work day and candidates must be available to work Sundays on a rotation. Current work-from-home Anthem associates may continue to work remotely, but in-office Anthem associates will continue to work from the office, and external candidates would work from the Mason, OH office**
The Nurse Appeals is responsible for investigating and processing medical necessity appeals requests from members and providers. Primary duties may include, but are not limited to:
Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran.