Anthem Blue Cross and Blue Shield is a proud member of the WellPoint family of companies. At Anthem, we are working together to transform health care with trusted and caring solutions.
Bring your expertise to our innovative, performance-focused culture, and you will discover lasting rewards and the opportunity to take your career further than you can imagine.
This position may be located in Atlanta Georgia.
Responsible for the administration of medical services for company health plans in the Central Zone and ensures clinical integrity of broad and significant clinical programs, including the overall medical policies of the business unit. Primary duties may include, but are not limited to: Interprets existing policies and develops new policies based on changes in the healthcare or medical arena. Leads, develops, directs and implements clinical and non-clinical activities that impact health care quality cost and outcomes. Supports the Medical Management staff ensuring timely and consistent responses to members and providers. Identifies and develops opportunities for innovation to increase effectiveness and quality. Serves as a resource and consultant to other areas of the company. May chair or serve on company committees. May be required to represent WellPoint to external entities and/or serve on external committees.