Compliance Consultant

Company: Anthem, Inc.
Location: Norfolk
Posted on: April 9, 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:

• No more profiles! We no longer require you to create a log in and password to apply for a job and you won't be able to access previously created profiles, but don't worry - we still have your previous application(s) on file and you can still track your status by clicking on the "Track Your Job Application Status" button.
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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 Compliance Consultant Location: Norfolk, VA
  Job Family: Fraud
  Req #: PS48070-Virginia%20Beach
  Date Posted: Mar 31, 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. Location: This position can be located in California, Indianapolis, IN; Mason, OH, Atlanta, GA; Virginia Beach, VA or Any Anthem Office Location Compliance Consultant Position responsibilities are focused on meeting Anthem's contractually required reporting into State regulatory bodies, including but not limited to:
  • The identification of new or modified reporting requirements
  • Communicating report specifications, including required reporting components; reporting timelines; formatting and template preferences
  • Working across health plan and corporate business areas to identify report business owners
  • Timely report submissions into regulatory agencies
  • Facilitating report issue resolution
  • Maintaining reporting repositories, including report metric tracking systems
  • Establishing strong partnerships across the Anthem organization to meet position responsibilities and goals
  • At the advanced level, report, communicate, research contracts, regulations, and reporting requirements
  • Provide advanced level support, as regulatory reporting subject matter expert, 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 regulatory reporting compliance monitoring to identify process gaps, validate compliance levels, and map reporting processes, draft corrective actions/remediation plans for delinquent and/or inaccurate reporting
  • Conduct investigations, document findings, update stakeholders and leadership on reporting developments and issues, comply with notification requirements, and ensure corrective actions are made Qualifications
    • 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.
    • Proficient in Microsoft Office (Excel and Access)
    • Ability to work within databases
    • SharePoint experience is a plus
    • Experience with managed care and experience with reading and understanding Medicaid contracts is an asset
    • Good verbal and written communication skills
    • Ability to communicate effectively across all levels of the business
    • Minimal travel may be required
      
      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.

Keywords: Anthem, Inc., Norfolk , Compliance Consultant, Professions , Norfolk, Virginia