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Mgr I/II Utilization Management (job family) (PS5957) Required office: Indianapolis, IN; Midland, GA; Atlanta, GA or Albany, NY in Indianapolis, IN at Anthem, Inc.

Date Posted: 9/30/2018

Job Snapshot

Job Description

Your Talent. Our Vision. At Anthem, Inc., it’s a powerful combination, and 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 at one of America's leading health benefits companies and a Fortune Top 50 Company. 

Manager, Utilization Management I or II
Location: on-site at Indianapolis, IN; Midland, GA; Atlanta, GA or Albany, NY call center
Work schedule: any assigned shift M-F 8am to 8pm EST  
Responsible for overseeing workflow and performance of lower level Utilization Management Managers. Ensures compliance with departmental policies and procedures. Responsible for the daily management of the department.
Primary duties may include, but are not limited to:
  • Supervises workflow and performance of associates.
  • Assists in coordination and development of UM quality initiatives.
  • Participates in strategic planning and budget processes
  • Ensures compliance with departmental policies and procedures.
  • Works in conjunction with other UM staff to improve service quality initiatives, develop audit tools, and meet NMIS and other quality standards.
  • Provides quality control services such as call monitoring.
  • Develops and implements associate training.
  • Performs audits to monitor efficiency and compliance with policies. 
  • Hires, trains, coaches, counsel and evaluates performance of direct reports.

Mgr I:
  • Requires HS diploma or equivalent; 4 years operational experience in progressively complex customer service or call center; or any combination of education and experience, which would provide  an equivalent background. 
  • RN or BSN preferred.
  • For URAC accredited areas the following applies: Requires strong oral, written and interpersonal communication skills, problem-solving skills, facilitation skills, and analytical skills.
  • UM experience preferred.
Mgr II:
  • Requires 5 years progressively complex customer service or call-center experience and supervisory experience; or any combination of education and experience, which would provide an equivalent background.
  • BA/BS in a clinical area plus RN, MFT or LCSW license preferred.
  • UM experience preferred.
** Please note we will fill at either the Mgr I or Mgr II level depending on the applicant's background and qualifications.** 
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 please visit us at 
An Equal Opportunity Employer/Disability/Veteran


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