ZipRecruiter

Log In

1

Anthem Process Expert Jobs (NOW HIRING)

next page

Showing results 1-20

All JobsAnthem Process Expert Jobs

Anthem Process Expert information

See salary details

$37

$55

$66

How much do anthem process expert jobs pay per hour?

As of Jun 16, 2026, the average hourly pay for anthem process expert in the United States is $55.83, according to ZipRecruiter salary data. Most workers in this role earn between $53.61 and $57.69 per hour, depending on experience, location, and employer.

What is the difference between Anthem Process Expert vs Anthem Claims Specialist?

AspectAnthem Process ExpertAnthem Claims Specialist
Required CredentialsHigh school diploma or equivalent; certifications in healthcare or insurance preferredHigh school diploma or equivalent; insurance or healthcare certifications advantageous
Work EnvironmentOffice setting, collaborative teams, process improvement focusOffice or call center, customer service oriented, claims processing
Employer & Industry UsageInsurance companies, healthcare providers, managed care organizationsHealth insurance companies, claims processing centers
Common Search & Comparison IntentUnderstanding roles in healthcare insurance processesComparing claims processing roles within insurance companies

The Anthem Process Expert focuses on optimizing and improving insurance processes within healthcare organizations, often involving workflow analysis and process enhancements. In contrast, the Anthem Claims Specialist primarily handles the review and processing of insurance claims, ensuring accurate and timely payments. Both roles require knowledge of insurance procedures and may share similar certifications, but their core responsibilities differ in scope and focus.

What are some of the main challenges Anthem Process Experts face when optimizing workflow processes, and how can these be addressed?

Anthem Process Experts often encounter challenges such as resistance to change from team members, coordinating across multiple departments with varying priorities, and ensuring process improvements align with compliance standards. Addressing these challenges requires strong communication and facilitation skills, as well as a collaborative approach to gain stakeholder buy-in. Leveraging data-driven analysis and maintaining flexibility in solution design can also help overcome obstacles and drive successful process optimization.

What are the key skills and qualifications needed to thrive as an Anthem Process Expert, and why are they important?

To thrive as an Anthem Process Expert, you need a thorough understanding of business process management, data analysis, and healthcare operations, typically supported by experience in process improvement methodologies like Lean or Six Sigma. Familiarity with workflow management systems, data analytics tools, and healthcare regulations such as HIPAA is essential. Strong problem-solving abilities, attention to detail, and effective communication skills distinguish top performers in this role. These skills are crucial for streamlining processes, ensuring compliance, and driving efficiency within healthcare organizations.

What is an Anthem Process Expert?

An Anthem Process Expert is a professional who specializes in analyzing, improving, and overseeing business processes within Anthem, Inc., a leading health insurance provider. They work to streamline workflows, enhance operational efficiency, and ensure compliance with industry standards. Their responsibilities often include mapping out current processes, identifying areas for improvement, and collaborating with various teams to implement best practices. This role is crucial in helping Anthem deliver high-quality services to members and providers while optimizing internal operations.
Infographic showing various Anthem Process Expert job openings in the United States as of June 2026, with employment types broken down into 94% Full Time, 2% Part Time, and 4% Contract. Highlights an 94% Physical, 2% Hybrid, and 4% Remote job distribution, with an average salary of $116,128 per year, or $55.8 per hour.

Wound Care and Skin Health Team Lead, RN

Brightwood Center-WV

Follansbee, WV

$37 - $40/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 4 days ago

Job description

Overview:
At Genesis Healthcare, we are dedicated to improving the lives we touch through the delivery of high-quality care and exceptional service. As a leading provider in the long-term care industry, we believe in fostering a collaborative, inclusive and supportive work environment where every team member is valued and empowered to make a difference. Whether you're an experienced professional or just starting your career, we offer opportunities for growth, development, and advancement in a range of roles. Join us in our mission to enhance the well-being of our patients and residents while making a meaningful impact in the communities we serve.
Responsibilities:
  • Lead and integrate a fully developed Skin Health and Wound management program in collaboration with nursing center management.
  • Support central supply serving as the clinical expert for skin, wound, and incontinent products.
  • Oversee durable medical equipment related to the prevention and management of wounds.
Qualifications:
  • Must possess a RN license (MPT/DPT with leadership review/approval)
Must complete Skin Health Team Lead orientation training and Wound Basics within 90 days of hire Commitment to attend monthly support calls is required.
  • Must have national accredited wound certification (CWS, CWCN, WCC, CWON, WOC, AWCC)or be committed to complete Advanced Wound Training and national accredited Wound Certification within 1 year of hire (For those hired with wound certification, completion of a fast-track hybrid program for regulatory wound care requirements will be provided)
  • Knowledge and experience with clinical charting, incident reporting and investigation response is required.
  • Must have a strong knowledge base of acceptable standards of care for nurses, providers, therapists, dietitians, and others on the nursing center team.
  • Experience in team building and demonstrating respect for the interprofessional team in wound management is required.
  • Must have knowledge of national wound guidelines and wound products.
  • Knowledge of nursing home regulations and survey process is required.
  • Strong Microsoft Word, Excel, Database Management, PowerPoint skills are required.
Benefits:

  • Variable compensation plans
  • Tuition, Travel, and Wireless Service Discounts
  • Employee Assistance Program to support mental health
  • Employee Foundation to financially assist through unforeseen hardships
  • Health, Dental, Vision, Company-paid life insurance, 401K, Paid Time Off

  • Free 24/7 virtual health care provided by licensed doctors for all Anthem medically-enrolled employees and their immediate family members

  • On-Demand Pay Program that allows for instant access to a portion of the money you’ve already earned

We also offer several voluntary insurances such as:

  • Pet Insurance
  • Term and Whole Life Insurance
  • Short-term Disability
  • Hospital Indemnity
  • Personal Accident
  • Critical Illness
  • Cancer Coverage

Restrictions apply based on collective bargaining agreements, applicable state law and factors such as pay classification, job grade, location, and length of service.

Posted Salary Range: USD $37.00 - USD $40.00 /Hr.

Apply