Compliance Consultant Sr, Manager - Anthem, Inc (Texas)
Description
SHIFT: Day Job
SCHEDULE: Full-time
Compliance Consultant Sr, Manager
This position can sit remotely.
Compliance Consultant Sr.
Responsible for performing foundational and strategic compliance responsibilities with consistent excellence that support the team and management at the most senior level.
Primary duties for this senior level position, with moderate complexity and defined/localized scale include, at a consistent high level that supports, but not limited to:
+ At the senior 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.
+ This role is expected to be able to discern systemic/process related concerns in provider documentation and raise those issues appropriately for follow up.
+ This includes but is not limited to the potential for conflicting information.
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.
+ This role is expected to be able to discern systemic/process related issues in provider documentation and raise those issues appropriately for follow up.
+ This includes but is not limited to the potential for conflicting information.
Qualifications
Compliance Consultant Sr.
+ 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.
+ Bilingual in Spanish and English is strongly preferred.
+ Additional Requirements: CPC or CRC required.
+ CCDS/CCDS-O/CDEO/CDIPRN/LPN or CDI experience required.
+ This position can sit remotely with possible travel.
Compliance Manager
+ Requires a BA/BS; 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.
+ Bilingual in Spanish and English is strongly preferred.
+ Additional Requirements: CPC or CRC required.
+ CCDS/CCDS-O/CDEO/CDIPRN/LPN or CDI experience required.
+ This position can sit remotely with possible travel.
Applicable to Colorado Applicants Only
Annual Salary Range*: $63,440 - $94,600
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. has been named as a Fortune 100 Best Companies to Work For®, is ranked as one of the 2020 World’s Most Admired Companies among health insurers by Fortune magazine, and a 2020 America’s 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.
REQNUMBER: PS51280-Texas
* This article was originally published here
