Anthem, Inc Regulatory Compliance Manager PS15053 in Boston, Massachusetts

Regulatory Compliance Manager PS15053

Location: Minnesota, United States

Field: Fraud

Requisition #: PS15053

Post Date: Dec 05, 2018

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 benefits companies and a Fortune Top 50 Company.

Preferred Location: Minnesota but would consider as well other Midwest locations to enable travel to Minnesota to support our Alliance business.

The Regulatory Compliance Manager is responsible for managing regulatory compliance functions in support of the Minnesota (MN) Alliance and coordinating key Medicare Compliance accountabilities.

Primary duties may include, but are not limited to:

  • Collateral material review and submission to regulators

  • Preparation of responses and reporting related to delegation oversight requests/requirements

  • Development and coordination of completion of health plan partner or regulator-mandated reporting

  • External audit and other audit/assessment activity

  • Monitoring and oversight of business operations

  • Risk management, contract compliance

  • Policy and procedure development and implementation of new regulatory guidance/requirements.

Requires BA/BS degree in a related field, 5 - 7 years related regulatory or contract compliance with ability to analyze, write and integrate highly technical information into action plans; or any combination of education and experience which would provide an equivalent background.

Strongly preferred:

  • Experience with Medicare Advantage or Part D.

  • Experience with joint ventures or strategic health plan partnerships.

Anthem, Inc. is ranked as one of America’s Most Admired Companies among health insurers by Fortune magazine and is a 2018 DiversityInc magazine Top 50 Company for Diversity. To learn more about our company and apply, please visit us at careers.antheminc.com

An Equal Opportunity Employer/Disability/Veteran