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Anthem, Inc. Compliance Consultant in La Mirada, California

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 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 care companies and a Fortune Top 50 Company.

Location: This position can be located in California, Indianapolis, IN; Mason, OH, Atlanta, GA; Virginia Beach, VA or Any Anthem Office Location

Compliance Consultant

Position responsibilities are focused on meeting Anthem’s contractually required reporting into 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, and 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

  • 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 a plus

  • Experience with managed care and experience with reading and understanding Medicaid contracts is an asset

  • Good verbal and written communication skills

  • Ability to communicate effectively across all levels of the business

  • Minimal travel may be required

    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. 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.

REQNUMBER: PS48070

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