Anthem, Inc. Compliance Manager in Flushing, New York
SHIFT: Day Job
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 benefits companies and a Fortune Top 50 Company.
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:
Manage, lead, and/or oversee projects, initiatives, regulatory audits or exams, internal audits (e.g., program evaluation), and risk assessments.
Establish project plans, gap analysis, milestone dates, other significant aspects, and leadership updates.
Maintain and grow knowledge of laws, regulations, and company strategies to assess impact; and consult with and provide feedback to clients as subject matter expert.
Conduct complex reviews/investigations, document evaluations, and oversee that corrective actions are made. Interface/lead exchanges with external parties, such as regulators and vendors, as well as internal stakeholders, including, but not limited to, high level of management.
Requires a BA/BS; 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.
MS/MBA/JD or professional designation preferred.
Ability to travel up to 15%.
Bilingual in English/Spanish preferred.
Experience with Medicare Risk Adjustment (MRA) preferred.
Experience analyzing information and writing reports.
Anthem, Inc. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.