AGP Member Liaison Sr - Austin, TX

Recruiter
Anthem, Inc
Location
Wallingford
Salary
Competitive
Posted
Oct 10, 2016
Closes
Oct 19, 2016
Industry
Computer
Employer Type
Direct Employer
Employment Type
Permanent
Hours
Full Time
Your Talent. Our Vision. At Amerigroup, a proud member of the Anthem, Inc. family of companies focused on serving
Medicaid, Medicare and uninsured individuals, it's a powerful combination. It's 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.
This is an office-based position at the Grand Prairie office of Amerigroup at 2505 N Hwy 360.
The Member Liaison Sr. is responsible for developing, coordinating and implementing member advocacy initiatives within
the health plan as well as member retention by investigating and leading the resolution of member complaints.
Primary duties may include, but are not limited to:
-Investigates, resolves, and documents member complaints in accordance with State policies and requirements.
-Provide education to members and providers on Member Advocacy Programs.
-Investigates and resolves issues regarding members with non-compliant, behavioral, or abusive conduct with providers.
-Identifies and submits updates upon receipt of any regulatory updates or changes.
-Collaborate with local consumer advocacy groups for insight regarding the special health care needs of Medicaid
enrollees.
-Tracks, trends, and reports quality and access complaints; coordinates and documents follow-up actions.
- Serves as a liaison with State staff; Enrollment Broker staff and internal compliance personnel.

Requires an AA/AS; 3 years of experience in a social or health related service-oriented industry; or any combination of
education and experience, which would provide an equivalent background.
-BA/BS degree preferred.
-Medicare/managed care exp. preferred.
-Customer service exp. in the health industry preferred.
-Computer skills: MS Word, Outlook, Excel

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and
is a 2015 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit
us at antheminc.com/careers. EOE. M/F/Disability/Veteran.



**Job** *Customer Service*

**Title:** *AGP Member Liaison Sr - Austin, TX*

**Location:** *CT-Wallingford*

**Other Locations:** *TX-Austin*

**Requisition ID:** *122161* 77e54c47f5354cde8a839d02f06931b1

Company Description:

We recently changed our name from WellPoint to Anthem, Inc., the name people know us by best. As our companies continue to take a more active role in helping people access the right health care and programs, going by a name that people know and trust is important.

Anthem, Inc. is one of the nation's leading health benefits insurer and a Fortune Top 50 company. At Anthem, Inc., we are working to transform health care with trusted and caring solutions and meaningfully advance affordability and better health outcomes for our health plan members. Nearly 69 million people are served by our affiliated companies including more than 37 million enrolled in our family of health plans.

  • One in nine Americans receives coverage for their medical care through Anthem's affiliated plans.
  • We offer a broad range of medical and specialty products.

Bring your expertise to our innovative, achievement-driven culture, and you will discover lasting rewards and the opportunity to help drive the future of health care.

Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and is a 2014 DiversityInc magazine Top 50 Company for Diversity. To learn more about our co