SHIFT: Day Job

SCHEDULE: Full-time

Your Talent. Our Vision.At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, 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.

This is an exceptional opportunity to do innovative work that means more to you and those we serve.  

LOCATION: This is a remote position. (Tennessee preferred)

HOURS: Monday-Friday, Standard business hours.
 

Responsibilities:
Responsible for developing, coordinating, and implementing member advocacy initiatives within the health plan as well as member retention by investigating and leading the resolution of member complaints. Coordinates the member advocacy program throughout the functional areas of the health plan.

Primary duties to include, but are not limited to: 

• Investigates, resolves, and documents member complaints in accordance with policies and state requirementsImplements comprehensive Member Advocacy Program to meet the needs members
• Communicates with state agency regarding stakeholder recommendations for program improvement. 
• Collaborates with local consumer advocacy groups to gain insight regarding the special health care needs of Medicaid enrollees
• Tracks, trends, and reports quality and access complaints; coordinates and documents follow-up actions
• Facilitate Regional and Statewide Advisory Board and Stakeholder meetings to provide education on ECF program and obtain recommendations for program improvement. 
• Locate community resources for individuals enrolled in ECF and their families
• Attend Community Engagement Meetings to provide ECF program education to the community and schools.

Qualifications

The health of our associates and communities is a top priority for Anthem. We require all new candidates to become vaccinated against Covid-19. All offers of employment are conditioned on completion of a background check, including COVID-19 vaccination verification. If you are not vaccinated, your offer will be rescinded unless you provide – and Anthem approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Anthem is able to reasonably accommodate. Anthem will also follow all relevant federal, state and local laws.

Required Qualifications:
•    Requires a BA/BS degree in HealthCare or Human Services or related field and a minimum of 5 years of experience in a social or health related service-oriented industry; or any combination of education and experience which would provide an equivalent background.
 

Preferred Qualifications:
•    Support coordination or advocacy experience. 
•    Great customer service experience preferred

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 careers.antheminc.com. 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.