Join a growing team of medical management professionals at one
of the fastest healthcare companies in the country. This
division is one of the fastest growing businesses in a company with
the largest and most successful Medicaid business in the
nation. The associate in this position will be supporting
members enrolled in the State Medicaid Program. Responsible for the
administration of medical management services for company health
plans and ensures clinical integrity of broad and significant
clinical programs, including the overall medical policies of the
Medicare business unit. Responsible for the administration of
medical management services for company health plans and ensures
clinical integrity of broad and significant clinical programs,
including the overall medical policies of the Medicare business
unit. Primary duties may include, but are not limited to: Evaluates
requests for service coverage for medical necessity
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
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
May chair or serve on company committees.
May be required to represent Anthem to external entities
and/or serve on external committees
MD or DO in MN
At least 5 years of post-residency Psychiatry experience
Requires current, unrestricted MN license to practice
Current ABMS Psychiatry board certification required
Competitive compensation with benefits offered.
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