Work at Home Medical Management Agent Jobs with Anthem

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Work at Home Medical Management Agent Jobs with Anthem

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!

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