Clinical Compliance Director

Company: Anthem, Inc.
Location: Norfolk
Posted on: February 14, 2021

Job Description:

Welcome to the Anthem Careers site! We have been hard at work to improve our job search and application systems to better serve you. It is now easier to find and apply for relevant jobs as well as stay connected with Anthem. Here are a few of the updates you may notice:

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• NEW! Didn't find a job that is right for you? Join a Talent Network to stay informed on news and job opportunities with the Anthem Team! It is important that you apply using an email address which is unique to you and not shared with a friend, relative, spouse, or significant other. Our recruiting system uses your email address as your unique identifier. If you apply with a shared email address, your application will overwrite any previous applicant record with the same email address. Additionally, please ensure that you use a valid email address, free from typos, as there are a variety of communications which may be sent to the email address with which you apply Clinical Compliance Director Location: Norfolk, VA
  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