SHIFT: Day Job
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.
Location: The person in this position must work in our Austin,
Dallas, El Paso, Houston, Lubbock, or Dallas location.
The Therapist Reviewer (Speech Language Pathology Assistant) is
responsible for the review of medical records to determine if
requests for therapy services (speech-language pathology) were
medically necessary and filed appropriately.
Primary duties may include, but are not limited to:
+ Applies professional therapy, government regulation, and
medical policy knowledge to medical review, and makes
determinations for authorization requests, meeting all contract
requirements, processes and operational unit goals to ensure
+ Documents findings, develops analyses, and submits reports to
the appropriate departments in accordance with government
regulations and requirements.
+ Researches and obtains additional data, consults with clinical
reviewers and medical directors, when necessary.
+ Acts as a resource for internal and external customers.
+ May participate in intradepartmental teams, projects, and
+ Maintains quality and productivity standards and ensures
reviews are conducted within required timeframes.
+ Graduate of a college level program in speech-language
pathology, 1 year of clinical experience; or any combination of
education and experience, which would provide an equivalent
+ Current active unrestricted license as a speech language
pathologist assistant in applicable state required.
+ At least 5 years of experience is preferred.
+ Pediatric experience preferred.
+ Home Health Care experience preferred.
+ Microsoft Office knowledge preferred.
We offer a range of market-competitive total rewards that
include merit increases, paid holidays, Paid Time Off, and
incentive bonus programs (unless covered by a collective bargaining
agreement), medical, dental, vision, short and long term disability
benefits, 401(k) +match, stock purchase plan, life insurance,
wellness programs and financial education resources, to name a
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.