DESCRIPTION

SHIFT: Day Job

SCHEDULE: Full-time

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.

The Clinical Quality Program Specialist (Intern) will be responsible for…

Primary responsibilities include supporting:

• Support activities for Monthly Group based meetings, tracking requirements to improve member satisfaction and overall group performance.
• Support in outreach activities for member/provider incentive programs, HEDIS code review and clinic day events.
• Support in data reconciliation process for during the annual HEDIS reporting cycle.
• Collect content information from cross functional units to be applied to Monthly Quality Performance Reports.
• Create desk-top procedure for newly developed processes under the Quality Spectrum (HEDIS, CAHPS, Encounter and Utilization Management)
• Support the annual medical record procurement process to increase HEDIS performance rates.

Functions OR examples of projects for this role:

• Assist in the data pull of Gaps in Care Reports for Virtual Provider Group Meetings.
• Maintain and input Work Plan information for designated associates.
• Filing and logging DHCS All Plan Letters.
• Maintain shared in-box for the Quality Management team.

QUALIFICATIONS

• Pursuing a degree in Healthcare Related fields (Healthcare Management, Community Health Planning, or other related degrees.
• This internship is from June to August and is 40 hours per week
• Must be enrolled fulltime at an accredited college or university during internship
• Students must be authorized to work in the U.S. without future visa sponsorship requirements

Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.

Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. Previously known as Anthem, Inc., we have evolved into a company focused on whole health and updated our name to better reflect the direction the company is heading. Through its affiliated companies, Elevance Health serves more than 106 million people, including 42 million within its family of health plans. We aim to be the most innovative, valuable and inclusive partner.