Clinical Compliance Director
Company: Anthem, Inc.
Location: Norfolk
Posted on: February 14, 2021
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Job Description:
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Job Family: Fraud
Req #: PS45001-Virginia%20Beach
Date Posted: Feb 8, 2021 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 care
companies and a Fortune Top 50 Company. The Clinical Compliance
Director is responsible for supporting clinical regulatory
compliance for lines of businesses or a region.--
Primary duties may include, but are not limited to:--
---Leads the coordination and collaboration to ensure compliance of
delegated entities with regulatory, accrediting, and Health Plan
quality of care and service requirements.--
---Oversees the development of tools that assist in determining
exposure to regulatory and accreditation risks and identifies
opportunities to manage and mitigate those risks as it relates to
delegated entities.--
---Collaborates with teams and business management areas to develop
metrics for monitoring program objectives, policies, and procedures
that support regulatory and accreditation standards
compliance.--
---Collects and maintains information related to oversight and
compliance monitoring activities.--
---Recommends improvements or remediation to risk management,
regulatory, and accreditation compliance programs for delegated
entities.--
---Supports committee activities. Leads department projects and
serves as a subject matter expert.-- 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.
An Equal Opportunity Employer/Disability/Veteran Qualifications
Requires a BS/BA in health administration or a related field; 8
years of experience including 4 years of regulatory, compliance or
accreditation, and auditing experience; or any combination of
education and experience, which would provide an equivalent
background. Knowledge of clinical regulatory requirements, state
and/or federal regulatory agencies and accrediting bodies required.
Knowledge of delegation oversight and compliance for delegated
entities preferred. Ability to travel may be required. Applicable
to Colorado Applicants Only
Salary Range: $102,143.92 - $127,679.96
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.-- 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.
Keywords: Anthem, Inc., Norfolk , Clinical Compliance Director, Healthcare , Norfolk, Virginia
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