Compliance Consultant-Office Based (PS38157)
Vacancy expired!
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 benefits companies and a Fortune Top 50 Company.Compliance ConsultantThis position will sit onsite in an Anthem office (once offices are back open). Position responsibilities are focused on meeting Anthem’s required reporting into Federal and State regulatory bodies, including but not limited to:
The identification of new or modified reporting requirements
Communicating report specifications, including required reporting components; reporting timelines; formatting and template preferences
Working across health plan and corporate business areas to identify report business owners
Timely report submissions into regulatory agencies
Facilitating report issue resolution
Maintaining reporting repositories, including report metric tracking systems
Establishing strong partnerships across the Anthem organization to meet position responsibilities and goals
At the advanced level, report, communicate, research contracts, regulations, and reporting requirements
Provide advanced level support, as regulatory reporting subject matter expert, to regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
At the advanced level, analyze and extract regulatory data, documentation for compliance with requirements
Participate in regulatory reporting compliance monitoring to identify process gaps, validate compliance levels, map reporting processes, draft corrective actions/remediation plans for delinquent and/or inaccurate reporting
Conduct investigations, document findings, update stakeholders and leadership on reporting developments and issues, comply with notification requirements, and ensure corrective actions are made
Qualifications Qualifications:
Requires a BA/BS, 3-5 years of health care, regulatory, ethics, compliance or privacy experience
Or any combination of education and experience, which would provide an equivalent background.
Proficient in Microsoft Office (excel and access)
Ability to work within databases
SharePoint experience is an asset
Experience with commercial insurance and reading and understanding of federal and state legislative laws and mandates
Good verbal and written communication skills
Ability to communicate effectively across all levels of the business
Project management skills a plus
Minimal travel may be required
Must be able to sit onsite in an Anthem office
AnEqualOpportunityEmployer/Disability/VeteranREQNUMBER: PS38157-Cerritos-Cerritos
Vacancy expired!