*This post may contain affiliate links. I only share opportunities that I truly believe will benefit my readers. Disclosure.
Anthem is hiring work at home medical management specialists in the U.S. These are basically home-based case management positions available nationwide.
These appear to be full-time work at home positions.
From the company:
“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.”
Your duties will include (from work-at-home job listing):
- Gathers clinical information regarding case and determines appropriate area to refer or assign case (utilization management, case management, QI, Med Review).
- Provides information regarding network providers or general program information when requested.
- May assist with complex cases.
- May act as liaison between Medical Management and/or Operations and internal departments and providers which would include hospitals and MD offices.
- Maintains and updates tracking databases.
- Prepares reports and documents all actions.
- Responsibilities exclude conducting any utilization management review activities which require interpretation of clinical information.
- May complete cases after MD review and decision.
Qualifications (from listing):
- High school diploma or equivalent
- Minimum of 2 years of experience with an understanding of managed care or Medicaid/Medicare
- Or any combination of education and experience, which would provide an equivalent background.
- Medical terminology required.
- This is a “work from home” position. Candidates can live anywhere in the United States, however, working hours for the position will be 8:00 am to 5:00 pm Eastern Standard Time.
- Intermediate proficiency computer skills, especially with MS Excel.
If interested in learning more about this work at home opportunity, please visit the original home-based employment listing. Good luck!
