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Description SHIFT: Day JobSCHEDULE: Full-timeYour 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 care companies and a Fortune Top 50 Company.Provider Contract Specialist IIProcesses custom/specialized provider contracts including Group agreements and works with internal departments to facilitate new and re- contracting efforts for all networks in a defined health service area.Primary duties may include, but are not limited to:Conducts formal review of Contracts and Credentialing documents .Coordinates the approval and issuance of all approved contracts to the appropriate parties with various internal departments such as credentialing, reimbursement and provider database.Performs basic research to determine the legal names of group, reimbursement method required, as well as the status of the provider group at time of request.Creates boilerplate provider contracts and selects and inserts optional paragraphs/riders as required.Maintains automated tracking system and maintains status logs.Maintains related provider group contract files and sets up group for future contract documents.May research and administer process for provider group data changes and provider group terminations. Prepare and mail all new or re-contracting agreements; and create and maintain all provider files and related documentation.Requires a H.S. diploma; at least 3 years experience with provider contracts, plan procedures, and policies; or any combination of education and experience, which would provide an equivalent background.Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 Best Employers for Diversity by Forbes. To learn more about our company and apply, please visit us at careers.antheminc.com. An Equal Opportunity Employer/Disability/Veteran. Anthem promotes the delivery of services in a culturally competent manner and considers cultural competency when evaluating applicants for all Anthem positions.Qualifications High School DiplomaREQNUMBER: PS43874
