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Description SHIFT: Day JobSCHEDULE: Full-timeCompliance Director This position has the ability to sit at any Anthem office with possibility to work remote. This position will be an individual contributor. Responsible for directing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.Primary duties with expert skill level and tasks with the most advanced complexity and broad/enterprise scale may include, but are not limited to:
Directs projects, initiatives, regulatory sanctions, executive-sponsored initiatives, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, discovery and research of internal and external opportunities and
partnering strategies for Medicare Business. Conducts in-depth strategic
research, provides analytical support including analysis and synthesis of business, technical, government documents with a high attention to detail.
Leads compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans, oversee implementation of corrective actions, prepare reports/presentations.
Leads complex investigations and documents findings.
Develops strategic plans, makes recommendations to leadership; designs/implements annual compliance plan.
Develop strong relationships with key leaders to identify and address compliance risks and failures and manage action plans designed to fully mitigate risk(s).
Qualifications
Requires a BA/BS; MS/MBA/JD or professional designation preferred; 8-10 years of health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background
Including strong leadership/managerial skills and ability to motivate/coach other staff.
Regulatory or contract compliance is preferred.
Project management experience is preferred.
Medicare experience is preferred-familiarity with Special Needs Plans and specifically Dually Eligible products such as D-SNPs and MMPs.
AnEqualOpportunityEmployer/Disability/VeteranREQNUMBER: PS39214
