, Illinois

Description

SHIFT: Day Job

SCHEDULE: Full-time

Compliance Manager

This position will be located in an Anthem core state with the possibility for remote position. 

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, 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.
  • Ability to travel may be required.
  • Commercial Grievance and Appeal experience required.
  • Health Insurance experience required 

AnEqualOpportunityEmployer/Disability/Veteran

, Illinois

At Anthem, Inc., we believe that our health connects us all. So we focus on being a valued health partner and delivering quality products and services that give members access to the care they need. With more than 100 million people served by our affiliated companies including approximately 40 million enrolled in our family of health plans, we can make a real difference to meet the needs of our diverse customers.

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