Compliance Consultant, Consultant Sr., Manager

Company: Anthem, Inc.
Location: Portland
Posted on: April 10, 2021

Job Description:

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  Job Family: Fraud
  Req #: PS47076
  Date Posted: Apr 6, 2021 Compliance Consultant, Compliance Consultant Sr., Manager This position can sit onsite in an Anthem core office and open to remote. This position can be filled at either the compliance consultant, consultant senior, or manager level.-- Compliance Consultant Responsible for delivering and executing foundational compliance responsibilities that support the team and management at the advanced level. Primary duties for this advanced level position, with tasks of routine or least complexity may include, but are not limited to:
  • At the advanced level, report, communicate, research laws at the advanced level, regulations, requirements, regulatory audits and/or exams.
  • Provide advanced level support to regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
  • At the advanced level, analyze and extract regulatory data, documentation for compliance with requirements.
  • Participate in compliance monitoring to identify process gaps, validate compliance levels, map processes, draft corrective actions/remediation plans.
  • Conduct investigations, document findings, update stakeholders and leadership on developments, comply with notification requirements, ensure corrective actions are made. Responsible for delivering and executing foundational and strategic compliance responsibilities with consistent excellence that support the team and management at the most senior advanced level. Primary duties for this most senior advanced level position, with moderate complexity and defined/localized scale include, but not limited to:
    • At the most senior advanced level, report, communicate, research laws, regulations, requirements, regulatory audits and/or exams.
    • Provide senior level analytical support to projects, initiatives, regulatory audits or exams, internal audits, accreditations, on-site reviews, risk assessments.
    • Utilize systems unique to job functions, including standard-issue software such as Microsoft products; maintain system documentation, serve as subject matter expert, train users of system, contribute to system design, oversight or maintenance.
    • Apply critical thinking to formulate strategies and concepts that drive results, persuade and influence others, adapt to change, and manage conflict. Compliance Manager 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. Qualifications Compliance Consultant
        • Requires a BA/BS, 3-5 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.
        • Audit experience is preferred.--
        • Medicaid experience is preferred.--
        • Requires a BA/BS, at least 5 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.
        • Audit experience is preferred.--
        • Medicaid experience is strongly preferred.-- Compliance Manager
          • 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.
          • Audit experience is preferred.--
          • Medicaid experience is strongly preferred.-- Applicable to Colorado Applicants Only Annual Salary Range*: $54,240--- $97,000 Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level.-- * The hourly or salary range is the range Anthem in good faith believes is the range of possible compensation for this role at the time of this posting. The Company may ultimately pay more or less than the posted range. This range is only applicable for jobs to be performed in Colorado. This range may be modified in the future. No amount is considered to be wages or compensation until such amount is earned, vested, and determinable under the terms and conditions of the applicable policies and plans. The amount and availability of any bonus, commission, benefits, or any other form of compensation and benefits that are allocable to a particular employee remains in the Company's sole discretion unless and until paid and may be modified at the Company's sole discretion, consistent with the law. We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
            
            Anthem, Inc. is ranked as one of America's Most Admired Companies among health insurers by Fortune magazine and has been named a 2019 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. Please be advised that Anthem only accepts resumes from agencies that have a signed agreement with Anthem. Accordingly, Anthem is not obligated to pay referral fees to any agency that is not a party to an agreement with Anthem. Thus, any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Anthem. EEO is the Law Please use the links below to review statements of protection from discrimination under Federal law for job applicants and employees. Anthem, Inc. is committed to helping individuals with disabilities participate in the workforce and ensuring equal opportunity to apply and compete for jobs. If you are an individual with a disability and require a reasonable accommodation to complete the application process, please email Human Resources at ability@icareerhelp.com for further assistance. *WARNING : Please beware of phishing scams that solicit interviews or promote work-at-home opportunities, some of which may pose as legitimate companies. Please be advised that Anthem will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission here by selecting the 'Rip-offs and Imposter Scams' option. Anthem requires a completed online application for consideration of employment for any position.

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