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Manager II, GBD Quality Management - Plan (Remote within the areas listed below) - PS28743

Anthem Reston, VA
  • Expired: October 16, 2019. Applications are no longer accepted.

Manager II, GBD Quality Management - Plan (Remote within the areas listed below) - PS28743
Location: United States
Requisition #: PS28743
Post Date: 13 hours ago
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 healthcare.
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
(Remote work location within the following areas: Indianapolis, IN; Mason, OH; Cleveland, OH; Columbus, OH; St. Louis, MO; Louisville, KY; Fond Du Lac, WI; Nashville, TN)
The Manager II, GBD Quality Management - Plan position is responsible for developing and ensuring effective
coordination of quality initiatives within the health plan, to include
indicators for monitoring and evaluating the quality of care, service, and
satisfaction of providers and members. Primary duties may include, but are not
limited to:

  • Establishes Quality Management objectives and annual goals for Clinical Quality Program Managers.
  • Develops and submits dashboard reports for all state, Centers for Medicare and Medicaid Services (CMS), and accrediting measures; analyzes validity of quality management data/reports from a clinical perspective.
  • Coordinates development, implementation, and evaluation of quality improvement action plans for HEDIS and Medicare Risk Adjustment.
  • Provides oversight and ensures implementation of the Healthcare Effectiveness Data Information Set (HEDIS) data management and reporting strategy; coordinates the related improvement action plans.
  • Provides training and education to meet National Committee for Quality Assurance (NCQA) standards.
  • Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Requires a BA/BS in a health or business related field; 7 years of experience in a healthcare environment, including prior management experience; or any combination of education and experience, which would provide an equivalent background.
  • MSN, MPH, or MPA preferred.
  • Current clinical license preferred.
  • 25% travel required.
Anthem, ranked as one of America's Most Admired Companies among health insurers byFortune magazine and is a 2018 DiversityInc magazine Top 50 Company forDiversity. To learn more about our company and apply, please visit us An Equal Opportunity Employer/Disability/Veteran.



Reston, VA
20190 USA