Medicaid State Operations Analyst job in Tampa



Found in: Lensa – 22 hours ago

Tampa, United States Anthem, Inc Full time

Description SHIFT: Day JobSCHEDULE: Full-timeResponsible for researching, analyzing, documenting and coordinating the resolution of escalated and/or complex claims issues for the Health Plan and requires expert knowledge of all systems, tools and processes.Primary duties may include, but are not limited to: + Receiving and responding to state or federal regulatory complaints related to claims+ Managing health plan dispute escalations+ Quality review of various dispute outcomes+ Managing complex system issues+ Managing state updatesQualifications Requirements: + BA/BS degree+ Minimum of 5 years of claims research and/or issue resolution or analysis of reimbursement methodologies within the health care industry+ Or any combination of education and experience which would provide an equivalent background 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. Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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: PS59560-Florida


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