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Medicaid Clinical Quality Internship - Graduate

Location:

  • IN, Indianapolis
  • OH, Mason
  • GA, Atlanta
  • GA, Atlanta

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Description

The Medicaid Clinical Quality Intern will be responsible for Supporting clinical investigation, auditing, analyzing performance reports (e.g., for claims data, provider data, member, utilization data) and providing notations of performance deviations and anomalies.  Additionally, intern scope of work will include researching evidence-based member or provider facing initiatives, collecting medical record charts from providers, hospitals, or specialty groups on the behalf of the Medicaid Quality Management (MQM) Team.

How you will make an impact:

  • Working with the quality team to review data and studies to identify barriers to member and provider interventions

  • Developing and analyzing performance reports (e.g., for claims data, provider data, member, utilization data) and providing notations of performance deviations and anomalies

  • Making necessary recommendations, and develops ad hoc reports as needed

  • Researching evidence-based member or provide facing initiatives

  • Reviewing clinical data elements, identifies findings supported by documentation guidelines

  • Faxing and collection charts from providers, hospitals, or specialty groups

  • Maintaining effective documentation of research programs

  • Analyzing data and summarizing performance using summary statistical procedures

  • Supporting clinical investigation, auditing, and assisting in documentation and chart retrievals 

  • Conducting accurate and complete quantitative analysis of clinical data and presentation of results

  • Scheduling, conducting, and attending meetings, supporting management in overall objectives, assessing costs and savings

  • Supporting meetings, quality action plans, and serves as plan representative for collaborative opportunities

  • Oversees quality improvement activities for the largest, most complex state programs

  • Participates in and provides input to the development of initiatives or activities

  • Providing support to assure accurate and complete quantitative analysis of clinical data and presentation of data analysis results

Minimum Requirements:

  • Actively pursuing a master’s in health administration, health education, public health, nursing, or a related clinical field; health care quality or data analysis experience; or any combination of education and experience, which would provide an equivalent background at an accredited college/university

  • Ability to work 40 hours weekly during the summer internship program

  • Students must be authorized to work in the U.S. without future visa sponsorship requirements

Preferred Skills, Capabilities and Experiences:

  • Comfortable in a fast-paced environment and a quick learner as Training and Licensing will be provided.

  • Familiarity with Microsoft Office Products (Word, Excel, PowerPoint, etc.)

  • Excellent Communication skills, both written and oral.

  • Excellent Problem-solving, Analytical, and Organizational skills

  • Excellent Public Speaking and Presentation skills


Please be advised that Elevance Health only accepts resumes from agencies that have a signed agreement with Elevance Health. Accordingly, Elevance Health is not obligated to pay referral fees to any agency that is not a party to an agreement with Elevance Health. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.

Be part of an Extraordinary Team

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.

We are looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve. You will thrive in a complex and collaborative environment where you take action and ownership to solve problems and lead change. Do you want to be part of a larger purpose and an evolving, high-performance culture that empowers you to make an impact?

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 few.

The health of our associates and communities is a top priority for Elevance Health. We require all new candidates to become vaccinated against COVID-19. If you are not vaccinated, your offer will be rescinded unless you provide – and Elevance Health approves – a valid religious or medical explanation as to why you are not able to get vaccinated that Elevance Health is able to reasonably accommodate. Elevance Health will also follow all relevant federal, state and local laws.

Elevance Health has been named as a Fortune Great Place To Work in 2021, is ranked as one of the 2021 World’s Most Admired Companies among health insurers by Fortune magazine, and a Top 20 Fortune 500 Companies on Diversity and Inclusion. To learn more about our company and apply, please visit us at careers.ElevanceHealth.com. Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact ability@icareerhelp.com for assistance.

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