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Description SHIFT: Day JobSCHEDULE: Full-timeCompliance ManagerThis 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.Responsible for managing foundational and strategic compliance responsibilities with consistent excellence that support the team and management.Primary duties for this managing level position, with moderate to advanced complexity and broad/enterprise scale may include, but are not limited to:Conducts in-depth strategic research, provides analytical support including analysis and synthesis of business, technical, government documents with a high attention to detail.
Manage/oversee projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments; audit planning, conducting mock audits, conducting audit training, managing audit evidence preparation, assessing audit preparedness.
Establish project plans, gap analysis, milestone dates, and other significant aspects, and leadership updates.
Maintain knowledge of laws, regulations, company strategies to assess impact, and consult with clients as subject matter expert.
Conducts complex investigations, document findings, and ensure corrective actions are made.
Interface with external clients, regulators, vendors, supplier; internal stakeholders, high level of management.
Qualifications Requires a BA/BS; MS/MBA/JD or professional designation preferred; at least 6+ years of health care, regulatory, ethics, compliance or privacy experience; or any combination of education and experience, which would provide an equivalent background.
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: PS40830
