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LTSS Service Coordinator Non-clinician (Audit/Regulatory) PS1554 in Nashville, TN at Anthem, Inc.

Date Posted: 2/9/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving Medicaid, Medicare and uninsured individuals, it’s a powerful combination.  It’s the foundation upon which we’re creating greater 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.   

The LTSS ECF Auditor Non-Clinician is responsible for:

•Performing LTSS internal and external audits;
•Compliance and data tracking; data entry; reporting; critical Incident monitoring; clinical credentialing and license monitoring.
•Request for Information (RFI) monitoring and tracking;
•Using Excel, navigating SharePoint and web-based platforms.
•Other tasks to optimize LTSS compliance to contract risk agreements;  
•May also serve as mentor or preceptor for new staff, assisting in the formal training of associates and may be involved in process improvement initiatives.

Job Requirements

• BA/BS in a health related field such as social work, education, or other human service health care profession (e.g. psychology or sociology) preferred; 2 years of experience working with a social work agency; or any combination of education and experience, which would provide an equivalent background.

• Must be proficient using MS Office Products (i.e. Word, Excel, and Outlook)

Seasonal overtime and weekend on-call rotation required.

• Experience working with Individuals with Developmental Disabilities preferred.

• Previous audit experience preferred

• Soft skills including analytical and critical thinking, communication; teamwork and having a professional business acumen strongly preferred

  • • One year of LTSS experience and/or health care experience preferred



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