Anthem, Inc. Compliance Manager in Houston, Texas
SHIFT: Day Job
This position will sit onsite in an Anthem office. Preferred locations: Indianapolis, Virginia Beach, Atlanta, or Denver.
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/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.
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.
Ability to travel may be required.
MS/MBA/JD or professional designation preferred.
Proficient in Microsoft Excel, Word, PowerPoint, and visio.
Strongly preferred: Knowledge of Commercial Operations in one or more of the folllowing: Claims Utilization Management, Grievance & Appeals, Enrollment, Provider DAta, or Delegation Oversight.
Familiarity with SharePoint.
Must be able to sit onsite in an Anthem office (preferred office locations listed).
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