Anthem, Inc. is the nation's leading health benefits company serving the needs of approximately 40 million medical members nationwide.
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 health care
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
The Director of Customer Care I is responsible for overseeing a call center for Pharmacy Prior Authorization. You will lead Managers, Customer Service Reps, and Pharmacy Technicians. You will direct an operation responsible for providing intake of Provider and Member requests via Phone, fax, and state of the art, industry leading, electronic channels. Also accountable for ensuring change management and flawless execution on new client implementation and expansions.
Your other primary duties will include these key functions and more:
A member of the Pharmacy Operations Leadership team responsible for partnering with other leaders and peers to set strategy, direction, and execution of the Pharmacy plan.
Manages the Prior Authorization call center team in one or more facilities within a 7 days/wk pharmacy business unit, responsible for planning, funding, scheduling, execution, and delivery of work performed by the team.
As a key member of the Pharmacy Prior Authorization team you will be responsible for ensuring appropriate staffing and training of associates to deliver high quality, high compliance, and high Provider/Member satisfaction.
Additionally, developing short/long-term Operations objectives and while continuously monitoring and coaching and procedures to a team of managers to ensure these are met by staff
Your leadership and direction will be used to encourage your staff in their development and training.
Use your Prior Authorization and Customer Care knowledge to stay abreast of state/federal regulations.
Manage your annual operating budget within financial objectives and in a manner which ensures that service and goals are met.
If this descriptions intrigues you, we require a BA/BS degree; 7 years leadership experience or any combination of education and experience, which would provide an equivalent background.
Professional/leadership experience; strategic planning, organizational, managerial and leadership skills required.
Operations/Customer Care, and/or Call Center experience required
Pharmacy and Medicaid or Medicare Part D experience preferred.
Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2017 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at antheminc.com/careers. EOE. M/F/Disability/Veteran.
Website : http://www.antheminc.com
The company was formed when WellPoint Health Networks Inc. and Anthem, Inc. merged in 2004 to become the nation's leading health benefits company. The parent company originally assumed the WellPoint, Inc. name at the time of the merger. In December 2014, WellPoint, Inc. changed its corporate name to Anthem, Inc. The Anthem brand is built on a foundation of trust – it’s the name consumers are most familiar with as a trusted health care partner through our affiliated health plans. Anthem, Inc. is one of the largest health benefits companies in the United States. Through its affiliated health plans, Anthem companies deliver a number of leading health benefit solutions through a broad portfolio of integrated health care plans and related services, along with a wide range of specialty products such as life and disability insurance benefits, dental, vision, behavioral health benefit services, as well as long term care insurance and flexible spending accounts. Headquartered in Indianapolis, Indiana, Anthem, Inc. is an independent licensee of the Blue Cross and Blue Shield Association serving members in California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia and Wisconsin; and specialty plan members in other states.